MPFS Update

On June 25, 2010, President Obama signed into law the “Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010”.  This law establishes a 2.2 percent update to the Medicare Physician Fee Schedule (MPFS) payment rates retroactive from June 1 through November 30, 2010.  Contractors have been instructed to stop processing claims with the negative update rate and expect to start processing claims with dates of service June 1, 2010 and forward with the new rate as soon as July 1, 2010.  Claims that were processed with the negative rate will be reprocessed “as soon as possible”.  Since Medicare pays the lesser of the submitted charges or MPFS amount, those claims submitted for June with charges less than the 2.2% update will need to contact their contractor and request an adjustment.  To visit the Medicare Fee Schedule page, go to:  http://www.cms.gov/PhysicianFeeSched/01_overview.asp

Tagged as: Medicare Fees, Medicare Physician Fee Schedule, MPFS, MPFS Update