MAR 8, 2013 5:00pm ET

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CMS Alerts Providers about Medicare Spending Cuts

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The Centers for Medicare and Medicaid Services has issued a statement on mandatory spending cuts in the Medicare Fee-for-Service program because of the budget sequestration order that President Obama issued on March 1:

The Budget Control Act of 2011 requires, among other things, mandatory across-the-board reductions in Federal spending, also known as sequestration. The American Taxpayer Relief Act of 2012 postponed sequestration for 2 months. As required by law, President Obama issued a sequestration order on March 1, 2013. The Administration continues to urge Congress to take prompt action to address the current budget uncertainty and the economic hardships imposed by sequestration.

“This listserv message is directed at the Medicare FFS program (i.e., Part A and Part B). In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, will incur a 2 percent reduction in Medicare payment. Claims for durable medical equipment (DME), prosthetics, orthotics, and supplies, including claims under the DME Competitive Bidding Program, will be reduced by 2 percent based upon whether the date-of-service, or the start date for rental equipment or multi-day supplies, is on or after April 1, 2013.

“The claims payment adjustment shall be applied to all claims after determining coinsurance, any applicable deductible, and any applicable Medicare Secondary Payment adjustments.

“Though beneficiary payments for deductibles and coinsurance are not subject to the 2 percent payment reduction, Medicare’s payment to beneficiaries for unassigned claims is subject to the 2 percent reduction. The Centers for Medicare & Medicaid Services encourages Medicare physicians, practitioners, and suppliers who bill claims on an unassigned basis to discuss with beneficiaries the impact of sequestration on Medicare’s reimbursement.

“Questions about reimbursement should be directed to your Medicare claims administration contractor. As indicated above, we are hopeful that Congress will take action to eliminate the mandatory payment reductions.”

Comments (3)
Great... so all those practices purchasing OUTRAGEOUSLY priced EHR software to avoid a 5% penalty find out that - in reality - the penalty would only be 3%.

Not to mention the unmitigated GRIEF medical staff has gone through in terms of training, plus the still-day-to-day aggravation. Or the loss of time in front of patients. Or the loss of any sense of personalization when it comes to patient encounters.

Great! Spent $80K (plus recurring monthly user costs), lost 9% of patient base, EHR reports contain scads of useless, repetitive info.

Why didn't I just dictate?????

Posted by Sarah M | Monday, March 11 2013 at 1:30PM ET
Bend over because they will then use the data collected to lower fees further. Just ask your local VNA service what happened to them!
Posted by Michael A | Monday, March 11 2013 at 2:40PM ET
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