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 Up to the minute information for your financial success.  

Special Issue: CMS Issues Notice of Pending Instructions to Hold Claims Starting January 1

Hold may last 2 weeks, should have minimal impact 

CMS sent out a notice on Monday anticipating that Congress will experience difficulty in agreeing how to pay for an SGR fix and how long it should last.  In the notice, CMS states that it will instruct its Medicare claims administration contractors to hold claims for services delivered in the first two weeks of the new year.  Services delivered prior to that date are unaffected.  CMS plans to notify contractors sometime in the next three weeks regarding the status of the hold. 

According to the CMS notice, "The hold should have minimal impact on provider cash flow because, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt."

Congress Schedules a Special Session . . .

The House scheduled an "Emergency Meeting" Monday night to confer on a motion to concur with the already passed Senate Bill and to hear Resolution 501,"Expressing the sense of the House of Representatives regarding any final measure to extend the payroll tax holiday, extend Federally funded unemployment insurance benefits, or prevent decreases in reimbursement for physicians who provide care to Medicare beneficiaries."

Details . . .

• To find out more, check out the HBMA Action Gram report this update is based on. 

• You can also read the Emergency Meeting notification , the full text of the act ("The Middle Class Tax Relief & Job Creation Act of 2011 – H.R. 3630") and related information  on the U.S. House of Representatives Rules Committee official website. 

• Information about how to contact your Congressional Representatives is posted at http://www.usa.gov/Contact/Elected.shtml .

For more specific information about how this legislation may affect your practice and what PBN can do to help, contact a PBN client liaison at .   
 

For more information and guidance on this and other issues that affect your bottom line, contact . . .

PBN Business Development, 800.288.4901,

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