tci Medicare Compliance & Reimbursement - 2010 Issue 10

Physician Notes: At Least 1 MAC Processed Part B Claims Using 21 Percent 'Pricing Error'

21 percent pay cut averted but several claims still slip through the system. President Obama has helped you avert a 21 percent pay cut by signing the "Continuing Extension Act of 2010" -- but one MAC let several claims slip through the system using the discounted payment formula, and the payer is in the process of correcting its error. Just before the president signed the law on April 15, MACs had been holding all claims for dates of service between April 1 and April 14. Even though the pay freeze was retroactive to April 1, some practices worried that...

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