tci Medicare Compliance & Reimbursement - 2015 Issue 7

Industry Notes: Proposed 'Doc Fix' Could See Congressional Vote

If you were anxious that you’ll face a 21 percent reimbursement cut on April 1 if Congress doesn’t vote to override it, there is hope for now. You stand to not only get a reprieve to the cut, legislators aim to fix the Medicare payment formula instead of continuing to offer temporary fixes to the Sustainable Growth Rate (SGR) issue. Background: Congress has passed 17 SGR “patches” since 2002, which has made both legislators and physicians wary about simply moving the problem forward yet again. Eliminating the SGR would be welcome by most Medicare providers, but...

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