tci Part B Insider - 2013 Issue 18

Sequester Cuts: Medicare Advantage Taking A 2 Percent Bite? Bite Back

Unless your contracts specifically allow your MAO to pass on its two percent cuts to you, appeal. You knew there would be cuts to your Part B payments on April 1 due to Medicare’s two percent sequestration cuts—but perhaps you didn’t expect Medicare Advantage to also jump on the pay-cutting bandwagon and similarly slash your payments. And, it turns out, they probably shouldn’t be cutting your pay at all, CMS says in a surprising new memorandum that actually reminds Medicare Advantage payers to stop taking two percent out of practices’ checks. Although Medicare Advantage has...

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