For services reimbursed under the Medicare Physician Fee Schedule (MPFS), claims with dates of service on or after April 1, 2013 will continue to incur a 2% reduction in Medicare payment through March 31, 2015. I am often asked how the sequestration reduction impacts payment from the Medicare Administrative Contractor, how it impacts the calculation of the Medicare allowed amount that is applied to the annual therapy cap dollar threshold and how it impacts the Medicare patient’s financial responsibility in terms of co-insurance and/or deductible. To obtain the answers to above the questions, please log into your Gold Member account or become a Gold Member.
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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.