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Doctors of Chiropractic can review any payments reported about them (as part of the Open Payments program) until May 20. The only way for physicians and teaching hospitals to confirm that the data reported about them is correct is to register and review that data now during the current review period. Learn how to review them here.

 

*APRIL 15, 2015 UPDATE*: Information Regarding the 2015 Medicare Physician Fee Schedule

On April 14, 2015, Congress passed the Medicare Access and CHIP Reauthorization Act of 2015.  This law eliminates the negative update of 21% scheduled to take effect as of April 1, 2015, for the Medicare Physician Fee Schedule.  CMS will immediately begin work to implement these provisions.

In an effort to minimize financial effects on providers, CMS previously instituted a 10-business day processing hold for all impacted claims with dates of service April 1, 2015, and later. While the Medicare Administrative Contractors (MACs) have been instructed to implement the rates in the legislation, a small volume of claims will be processed at the reduced rate based on the negative update amount. The MACs will automatically reprocess claims paid at the reduced rate with the new payment rate.

No action is necessary from providers who have already submitted claims for the impacted dates of service.




 
 

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Note: The policies, procedures, and regulations outlined in this section of the website were developed by the US Department of Health and Human Services and the Center for Medicare Studies (CMS). These policies, specifically as they relate to chiropractic coverage under Medicare, do not necessarily reflect the position of the ACA.