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 Healthcare Articles
Employee Benefit Plan Alert: Fiduciaries must focus on Plan Fees The Potential Liability of Self-Funded Health Insurance Plans Physician Services Healthcare Regulatory 2008 Update Coding and Documentation 2008 Update 2008 Diagnosis Code Changes 2008 CPT Code Changes 2008 Modifier Changes Consultations MS-DRG and Present on Admission OIG Work Plan Increasing Revenue In Your Practice 2007 Medicare Update 2006 Medicare Update 2006 Medicare Bulletin: Nine-day hold on all Medicare payments 2005 Healthcare Update 2005 New Jersey Healthcare Bulletin 2005 Healthcare Events Update Medicare and Medicaid (CMS) Alert 2005 Medicare Update ACAP Convention HealthLine Newsletter Articles
Healthcare Litigation Health Claims Authorization, Processing and Payment Act Healthcare Organizations Start to Adopt Sarbanes-Oxley Regulations The OIG Stresses the Importance of Internal Controls for Hospitals to Reduce Risk View all HealthLine Issues |
Important Medicare Bulletin
August 30, 2006 Amper, Politziner and Mattia’s Healthcare Services Group diligently follows the Centers for Medicare & Medicaid (CMS) updates for the benefit of our healthcare clients and contacts. AP&M recognizes the importance of CMS as it relates to all healthcare organizations and we are dedicated to keeping you informed. Mandated Nine (9) Day Hold on Medicare Payments A hold will be placed on Medicare payments for ALL claims (e.g., initial claims, adjusted claims, and Medicare Secondary Payer claims) for the last 9 days of the Federal fiscal year - September 22, 2006 - September 30, 2006. These payment delays are mandated by section 5203 of the Deficit Reduction Act (DRA) of 2006. No payments on claims will be made from September 22 – 30, 2006. Also, no interest will be accrued or paid, and no late penalty will be paid to an entity or individual for any delay in a payment by reason of this one-time hold on payments. ALL claims held as a result of this one-time policy will be paid on October 2, 2006. Payments will not be staggered and no advance payments during the 9-day hold will be allowed. This policy applies only to claims subject to payment. It does not apply to full denials and no-pay claims. Also, it does not apply to periodic interim payments, home health request for anticipated payments; cost reports settlements, and other non-claim payments. Medicare may make adjustments on a case-by-case basis, after October 1, 2006, for extenuating circumstances raised by a provider in that adjustments may be made to not charge a provider interest on an overpayment for those days for which offsets could not be made due to the hold of payments of the mandated DRA provision. Medicare contractors will continue to apply the fourteen-day electronic claim payment floor and the 29-day paper claim payment floor. If you have any questions, please respond to this e-mail. Amper’s Healthcare Services Group recommends that you consider the following suggestions to deal with this cash flow delay:
Michael J. McLafferty CPA, MBA, CHFP, FACMPE Partner, Healthcare Services Group |
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