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06/20/22

Does Sequestration Reduction Apply to Medicare Advantage Plans

Due to COVID-19, the 2% sequestration reduction for traditional Medicare was placed on pause until April 1, 2022. Beginning with dates of service between April 1 – June 30, 2022, the sequestration reduction returned at 1% and then increases to 2% for dates of service on and after July 1, 2022. What therapy providers want to know is does the sequestration reduction also automatically apply to Medicare Advantage plans? The answer is

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04/14/21

House Passes Bill to Extend Sequestration Pause

On April 13, 2021, the United States House of Representatives passed H.R. 1868 which extends the pause on the 2% sequestration reduction through the end of calendar year 2021. This legislation was passed by the United States on March 25, 2021. President Biden signed this legislation into law on April 14, 2021.

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03/30/21

CMS to Hold Claims Beginning April 1, 2021

Breaking news from the Centers for Medicare and Medicaid Services. Per CMS: Thank you for being a Gold Member! 

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03/30/21

Medicare’s 2% Sequestration Reduction Resumes April 1, 2021

On March 25, 2021, the United States Senate passed legislation that would continue to pause the 2% sequestration reduction through the end of 2021. That is the good news. The bad news is the United States House of Representatives will not take up the legislation until the week of April 12th. While we do expect the House of Representatives to pass the legislation and President Biden to sign it into law, the 2% sequestration reduction will resume with dates of service on and after April 1, 2021 until this occurs. What is unknown at this time is will the Centers

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12/22/20

Congress Passes Legislation Reducing 9% Payment Reduction

On December 21, 2020, the United States Senate and United States House of Representatives passed legislation that will have a financial impact on outpatient physical, occupational and speech therapy services thru December 31, 2023. President Trump signed the legislation into law on December 27, 2020. In this article, I will provide information on the following topics: Conversion factor change for calendar year 2021 that will impact payment for outpatient physical, occupational and speech therapy services under the Medicare Physician Fee Schedule. Extension of temporary suspension of Medicare sequestration Extension of the Work Geographic Index Floor minimum of 1.0 Places a

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