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CMS Extends Medicare Hold to June 18
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Medpagetoday.com REPORTS HERE that "the Centers for Medicare and Medicaid Services (CMS) has told its contractors to hold Medicare claims for processing until June 18, giving the Senate more time to take action on the 21% mandated cut in physician reimbursements."

"In May, the Senate left for Memorial Day recess without passing a bill to delay a 21% cut mandated under Medicare's sustainable growth rate (SGR) formula. The House passed the measure -- which is part of a much larger bill to extend a number of federal programs -- on May 28."

"Rather than reimbursing physicians at the lower rate, CMS instructed contractors to hold all claims for services delivered on June 1 or later for 10 business days in anticipation that Congress would vote to stop the 21% cut. CMS had planned on starting to process claims from early June on June 15, but on Monday the agency said it won't begin processing them on June 18."

"This will be the fourth time this year that CMS has held claims to save doctors from actually feeling the 21% cut."

"Meanwhile, doctors are keeping their eyes on the Senate, which is expected to vote no later than Wednesday on the tax extenders bill that would protect physicians from negative payment updates under Medicare through 2012."

 
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U.S. government overpaid private insurance companies administering Medicare Advantage plans by as much as $3.1 billion in 2010, according to a new report from the Government Accountability Office (GAO).

About a quarter of all Medicare beneficiaries are enrolled in Medicare Advantage plans, and the Centers for Medicare and Medicaid Services (CMS) paid about $114 billion to the plans in 2010.


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