tci Part B Insider - 2013 Issue 32

Reader Question: Check Date for Sequestration Questions

Question: Does the two percent sequestration cut apply to claims with dates of service on/after April 1, 2013, or does it apply to claims submitted on/after April 1, 2013? Answer: The date of service is the key factor. "In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, will incur a 2 percent reduction in Medicare payment," according to CMS Medicare FFS Provider e-News, posted back on March 8, 2013. "Claims for durable medical equipment (DME), prosthetics, orthotics, and supplies, including claims under the DME Competitive Bidding Program, will be reduced by 2...

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