New Medicare provisions in the Bipartisan Budget Act of 2018 require Medicare Administrative Contactors (MACs) to reprocess some types of claims. The Centers for Medicare and Medicaid Services (CMS) has instructed MACs to begin reprocessing those claims starting April 2, 2018.
Certain Pennsylvania physicians and practices will see increased reimbursement due to these reprocessed claims. Some of the affected claims include:
For complete details regarding the types of claims that will be reprocessed, check out CMS’s MLN Matters article here.
If you have questions on claims reprocessing, you can contact Novitas Solutions, Pennsylvania’s MAC, at 1-877-235-8073.
Pennsylvania Medical Society (PAMED) members can also contact our Knowledge Center at 855-PAMED4U (855-726-3348) or KnowledgeCenter@pamedsoc.org.
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