Medicare Claim Hold April 1, 2013 Medicare, Payment Medicare, Medicare claim hold 0 The Centers for Medicare & Medicaid Services (CMS) has identified technical issues with certain parts of the April 2013 quarterly systems release. The problem impacts claims received by the Medicare contractors (Palmetto GBA for California) on or after April 1, 2013. The issues affect: 1. All claims for assistant-at-surgery services 2. All Ambulatory Surgical Center claims As a result of the system issues, CMS has instructed Medicare contractors to hold these types of claims until April 14, 2013, when system fixes are expected to be implemented. Physicians should see minimal impact on the timeliness of these claims and their cash flow, as current law requires electronic claims to be held 14 calendar days, and paper claims for 29 days after the date of receipt. Click here to view the official CMS notice. Comments are closed.
