CMS to Soon Begin Reprocessing Claims Affected to Retroactive Provisions in Healthcare Reform Law, Physician Fee Schedule Legislation

Medicare claims affected by the Patient Protection and Affordable Care Act and physician fee schedule legislation will soon be reprocessed by CMS, according to an AHA News Now report.

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Medicare claims for hospitals, physicians and other providers will be affected by payment adjustments retroactive to Oct. 1, 2009, Jan. 1, 2010 and April 1, 2010, according to the report.

Reprocessing is expected to begin with inpatient claims, which are least affected by the changes, then outpatient and physician claims.

Reprocessing will be automatic in most cases, but provider with claims with submitted charges lower than revised 2010 physician fee schedule amounts will need to request a manual adjustment, according to the report.

Read the AHA News Now report on Medicare claims.

Read more coverage on Medicare claims:

CMS Reminds Hospitals It Won’t Pay for Services Filed More Than One Year After Service Date

Medicare Improper Payment Rate Fell in 2010

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