tci Medicare Compliance & Reimbursement - 2010 Issue 8
Medicare Pay: Congress Puts Off 21 Percent Pay Cut Until June 1
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Article Overview
This article covers a temporary extension of Medicare physician payment stability, the role of Congress and CMS in implementing the delay, and the effect of the timing on claims processed around the change. It is relevant to providers, billing staff, and coding/reimbursement professionals who need to understand how federal payment actions can affect Medicare Part B claims and contractor processing. The discussion focuses on the payment freeze, retroactive adjustment concerns, and administrative responses from CMS and the AMA.
Why This Topic Matters
Timing changes in Medicare reimbursement can affect cash flow, claims paid under different rates, and the need for later payment corrections. For practices that bill Medicare Part B, understanding when such changes take effect helps staff recognize why some claims may be processed differently during transition periods.
What You Will Learn
- How a temporary Medicare payment delay affected Part B reimbursement timing
- Why claims processed around the cutoff date may be paid at different rates
- How CMS and Medicare contractors responded to the legislative delay
- What kinds of administrative follow-up may be needed after retroactive payment changes
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Practice managers
- Healthcare administrators
- Physician practices billing Medicare
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