tci Medicare Compliance & Reimbursement - 2013 Issue 12

Reader Question: Showing Two Percent Cut on Invoice Is Your Choice

Question: Now that the Medicare remittance is clearly tracking CO-223 for sequestration mandate reductions, would you recommend showing the reduction on the patient’s billing invoice? Answer: As you know, the government issued a sequestration order on March 1 requiring across-the-board reductions in Federal spending. Because of this, Medicare claims with service dates or discharge dates that fall on or after April 1, 2013, are incurring a two percent pay reduction. You find payers using claim adjustment reason code CO-223 (Adjustment code for mandated Federal, State or local law/regulation that is not already covered by another code and is...

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