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CMS will reprocess revised physician fee schedule claims

Rehab Private Practice Alert, January 18, 2006

Rehab providers will not have to resubmit claims to obtain correct payments for services provided since January 1, 2006, said Herb Kuhn, director of the Center for Medicare Management, in a recent letter to Congress, reports PT Bulletin Online.

If the House passes the Deficit Reduction Act (S 1932), it will reverse the 4.4% cut that went into effect January 1 by freezing physician fee schedule payments at the 2005 levels. Once passed, the Centers for Medicare & Medicaid Services (CMS) will reprocess any claims for 2006 services that were submitted prior to the bill's enactment.

Kuhn expects the process to take several months, with the agency planning to complete claims adjustments by July. This move comes after pressure from legislators and provider organizations for CMS to move quickly to adjust payments agreed to by Congress.

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