CMS Issues Alerts Providers to Expired Medicare Payment Provisions

The Centers for Medicare and Medicaid Services has announced that a number of payment provisions, including the Therapy Cap Exceptions Process and Allowing Independent Laboratories to Bill for the Technical Component of Physician Pathology Services Furnished to Hospital Patients, expired as of Dec. 31, 2009, according to a report in MLN Matters.

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CMS said in the report that it believes that some or all of the provisions will be extended as part of legislation that affects Medicare. Currently, CMS is working with Congress to finalize the provisions.

Providers providing services under the provisions may choose to hold claims until it becomes clearer whether or not legislation with extend the provisions, according to the report. If enacted, claims may be submitted at that time. If not enacted, payment will not be made for services provided after Dec. 31, 2009.

Read the MLN Matters report on the expiring CMS provisions (pdf).

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