Outpatient Facility Coding Alert - 2015 Issue 1
MACs Are Holding 2015 Claims Through Jan. 14
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Article Overview
This article covers a CMS update affecting Medicare Physician Fee Schedule claims at the start of 2015, including a temporary MAC claims hold, a correction notice tied to technical errors in the final rule, and a change in the conversion factor. It is relevant for providers, billing staff, and coding professionals who track Medicare payment updates and implementation timing. The discussion focuses on the operational impact of the hold, the timing of affected dates of service, and the broader fee schedule payment context for 2015.
Why This Topic Matters
It helps practices understand why early-2015 Medicare claims were delayed and how CMS payment updates could affect reimbursement timing and fee schedule planning.
Article Sections
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Claims hold and timing impact
Explains the temporary processing hold on early-2015 Medicare claims and the general timing implications for claim payment workflows. It also distinguishes these claims from prior-year dates of service.
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Correction notice and payment update
Summarizes the CMS communication about technical corrections to the fee schedule and the related update to payment files. The section also addresses the timing of revised payment information for the year.
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Conversion factor update
Describes the change noted for the 2015 Medicare Physician Fee Schedule conversion factor and the later-year payment context associated with that update.
What You Will Learn
- Why Medicare claims were temporarily held at the start of 2015
- How CMS communication affected access to updated payment amounts
- What the article says about fee schedule payment updates for the year
- How the timing of payment changes could affect provider cash flow
Who Should Read This
- Medical billers
- Coding professionals
- Practice managers
- Revenue cycle staff
- Healthcare administrators
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