(From the Official CMS News of April 16, 2021) The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the sequestration payment adjustment percentage of 2% applied to all Medicare Fee-for-Service (FFS) claims from May 1 through December 31, 2020. The Consolidated Appropriations Act, 2021, extended the suspension period to March 31, 2021. An Act to Prevent Across-the-Board Direct Spending Cuts, and for Other Purposes, signed into law on April 14, 2021, extends the suspension period to December 31, 2021.
The American Chiropractic Association has provided resources to help you understand more about the PIMA provisions in the latest Medicare legislation and how chiropractic may be affected. Read more for important information and links.
Frequently we get calls from members who have treated a Medicare beneficiary, submitted the bill and received anything but what would normally have been expected in reimbursement. To follow are some of the more common issues and then the facts to consider before accepting a patient that has a Medicare Advantage Private Fee For Service (MA PFFS) Plan, sometimes known as a Medicare replacement plan.
Frequent complaints to the FCA insurance/legal office include:
