The Centers for Medicare and Medicaid Services (CMS) recently issued the
Holding of 2015 Date-of-Service
Claims for Services Paid Under the 2015 Medicare Physician Fee
On November 13, 2014, the CY 2015 Medicare Physician Fee Schedule (MPFS)
final rule was published in the Federal Register. In order to implement
corrections to technical errors discovered after publication of the MPFS rule
and process claims correctly, Medicare Administrative Contractors will hold
claims containing 2015 services paid under the MPFS for the first 14 calendar
days of January 2015 (i.e., Thursday January 1 through Wednesday January 14).
The hold should have minimal impact on provider cash flow as, under current law,
clean electronic claims are not paid sooner than 14 calendar days (29 days for
paper claims) after the date of receipt.
MPFS claims for services rendered on or before Wednesday Dec 31, 2014 are
unaffected by the 2015 claims hold and will be processed and paid under normal
procedures and time frames.