tci Medicare Compliance & Reimbursement - 2013 Issue 11

Reimbursement: Appeal Medicare Advantage 2 Percent Slashes

Double-check your contract to determine whether your Medicare Advantage payer is allowed to cut your pay. If you find that your Medicare Advantage payer has been cutting your pay in line with Medicare’s two percent sequestration cuts, you’ll be happy to hear what the Centers for Medicare & Medicaid Services (CMS) has to say about it. In a surprising new memorandum CMS actually reminds Medicare Advantage payers to stop taking two percent out of practices’ checks. Although Medicare Advantage has been hit with the sequestration cut that impacted Part B payments on April 1, Medicare Advantage must...

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