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 National Reform Update

 March 4, 2010
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On March 2, 2010, President Obama signed into law the "Temporary Extension Act of 2010."  Among other things, this law extends through March 31, 2010, the zero percent update to the Medicare Physician Fee Schedule that was in effect for claims with dates of service January 1, 2010, through February 28, 2010.  Consequently, effective immediately, claims with dates of service March 1 and later which were being held by Medicare contractors will be released for processing and payment.  Please keep in mind that the statutory payment floors still apply and, therefore, clean electronic claims cannot be paid before 14 calendar days after the date they are received by Medicare contractors (29 calendar days for clean paper claims).  In addition, the new law extends through March 31, 2010, the exception process for therapy claims reaching the annual cap, retroactive to January 1, 2010.  Affected providers may submit claims for exceptions to the annual therapy caps, with dates of service January 1 through March 31, 2010, using the KX modifier, following the pre-January 1, 2010, requirements for therapy cap exceptions.


Late on March 2, the Senate approved the House-passed bill that extends unemployment benefits, COBRA, the SGR and other payment and benefit provisions.  The bill funds Medicare payments to physicians at the current rate until March 31.  The President immediately signed the bill.
 
Meanwhile, the Senate is working on another bill that would extend these same benefits for several more months.  In the case of the SGR, payments would be extended to October 1 of this year.  This bill will likely pass the Senate later this week or early next and would likely be approved quickly in the House. 
 
Most Senators who voted for the legislation cited the difficulties created for the unemployed, but they also heard from a large number of physicians and that made a significant difference in their sense of urgency.
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Tad P. Fisher, Executive Vice President | Florida Academy of Family Physicians | 800-223-3237 | 6720 Atlantic Blvd. | Jacksonville | FL | 32211