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Temporary Medicare Claims Hold Pending Congressional Action


CMS issued the following statement on March 30:

In anticipation of possible Congressional action to extend the 2% sequester reduction suspension, we instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021, for a short period without affecting providers’ cash flow. This will minimize the volume of claims the MACs must reprocess if Congress extends the suspension; the MACs will automatically reprocess any claims paid with the reduction applied if necessary. 

The OSMA will notify members when Congress takes action and the claims hold ends.


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