tci Medicare Compliance & Reimbursement - 2015 Issue 2
Reimbursement: Expect Some Hiccups In Claim Clearance
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Article Overview
This article explains a CMS update about temporary Medicare claims holds tied to technical corrections in the 2015 Medicare Physician Fee Schedule Final Rule and related payment file changes. It is relevant to billing and reimbursement professionals who need to understand the timing of claim processing, the general nature of the correction notice, and the broader fee schedule context for 2015. The article focuses on CMS communication, claims clearance timing, and payment update issues rather than detailed coding guidance.
Why This Topic Matters
It helps readers anticipate short-term Medicare claim processing delays and understand that fee schedule payment information may change after publication of the final rule. That matters for revenue cycle planning, cash flow expectations, and tracking CMS updates.
Article Sections
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CMS claims hold and technical corrections
Explains the temporary hold on certain Medicare claims while CMS works through technical corrections to the published fee schedule materials. It also addresses the general timing of when affected claims are expected to be processed.
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Impact on payments and conversion factor update
Discusses the broader payment context for the 2015 Medicare Physician Fee Schedule, including revised payment-file information and a forthcoming correction notice. It also notes the overall fee schedule timing issue for the year.
What You Will Learn
- Why CMS temporarily held certain Medicare claims for early 2015 dates of service
- How the published fee schedule update affected payment file timing
- What the article says about the general reimbursement impact for providers
- How the 2015 Medicare Physician Fee Schedule update fits into the broader payment schedule timeline
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Practice managers
- Healthcare administrators
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