CMS to Release Held Medicare Physician Claims April 15

The Centers for Medicare & Medicaid Services (CMS) announced on April 13 that it will release on April 15 Medicare physician claims with dates of service on or after April 1, 2015, that it has been holding . 

According to CMS' MLN Connects Provider eNews Special Edition:

Beginning on April 15th, 2015, CMS will release held MPFS [Medicare Physician Fee Schedule] claims, paying at the reduced rate, based on the negative update, on a first-in, first-out basis, while continuing to hold new claims as they are received.  CMS will release one day's worth of held claims, processing and paying at the rate that reflects the negative update. At the same time, CMS will hold the receipts for that day, thus, continuing to hold 10 days' worth of claims in total. This is to provide continuing cash flow to providers, albeit at the rate that reflects the negative update. This “rolling hold” will help minimize the number of claims requiring reprocessing should Congress pass legislation changing the negative update.