Archive for March, 2012


The New Medicare Physician Fee Schedule

Monday, March 12th, 2012

On Wednesday, February 22, 2012, President Obama signed into law the Middle Class Tax Relief and Job Creation Act of 2012 (Job Creation Act).  This new law prevents a scheduled payment cut for physicians and other practitioners who treat Medicare patients from taking effect on March 1, 2012.

Section 3003 – Physician Payment Update – The new law extends the current zero percent update for claims with dates of service on or after March 1, 2012, through December 31, 2012.  However, the new law does not extend Sections 307 and 309 of the Continuation Act, the five percent physician fee schedule mental health add-on payment and the special 2011 payment rates for bone mass measurement, respectively.  The Centers for Medicare & Medicaid Services (CMS) is currently revising the 2012 Medicare Physician Fee Schedule (MPFS) to reflect the expiration of both of these provisions.  In order to allow sufficient time to develop, test, and implement the revised MPFS, Medicare claims administration contractors may hold mental health and bone density claims with March 2012 dates of service for up to 10 business days.  We expect these claims to be released into processing no later than March 15, 2012.  Other March 2012 claims will be unaffected by this claim hold.

The new Medicare Physician Fee Schedule for NY can be found here.
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