Update on Status of Doc Fix and Therapy Caps [4-1-14]

Filed under: Industry Updates — Editor @ 11:07 am

legislation_1Last week, the House passed a Doc Fix (SGR) Bill by voice vote on Thursday, March 27th. The bill, Protecting Access to Medicare Act of 2014, would prevent the 24% cut to the Physician Fee Schedule and replace it with a 0.5% conversion factor through December 31, 2014 and a 0.0% update from January 1, 2015 through March 31, 2015.  Yesterday, the Senate passed the legislation and the President is expected to sign.  What this means:

* Physician Fee Schedule cut of 24% is delayed till March 31, 2015
* Therapy Cap Exceptions Process (KX modifier) would be extended through March 31, 2015
* ICD-10 delayed till October 1, 2015
* CMS will not need to hold claims effective with dates of service April 1, 2014

We will keep you up to date on additional developments.

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