Navigation Links
Medicare 21 percent physician payment cut to go into effect April 15

Washington -- "Because of Congress's inability to find answers to the ongoing Medicare physician payment dilemma, physicians across the country are unable to accept and treat new Medicare patients," Joseph W. Stubbs, MD, FACP, president of the American College of Physicians (ACP) declared today as he considered the impending effects of the cut to the Sustainable Growth Rate (SGR). "This is simply because the uncertainty creates total chaos from a business-planning perspective."

The 21 percent physician payment cut that was originally scheduled to take effect on Jan. 1 is set instead to begin on April 15. Twice before, at least month-long reprieves have staved off cuts before they could take effect. While Congress continues to work toward a further delay of the cuts, lawmakers have yet to agree on a pathway.

The Centers for Medicare and Medicaid Services (CMS) instructed its contracted-insurance companies to place a 10-day processing hold on claims for services provided on, or after, April 1. The "hold," CMS said, was to minimize administrative complications and other disruptions that would result from calculating payments that reflect a rate reduction that Congress is expected to overturn. By existing law, that 10-day hold period ends on Wednesday, April 14.

" If Medicare begins paying physician claims with the 21 percent reduction starting on April 15, any short-term fix that might be legislated this weekend or later even though retroactive likely will create a cash-flow problem in the meantime with claims being paid at the lower rate," Dr. Stubbs noted. "This will send an unfortunate message to Medicare beneficiaries.

In addition to his ACP presidency, Dr. Stubbs is a practicing internist in a small practice in Albany, Ga. His perspective for his comments comes from his travels throughout the country and his more than 30 years of practice.

"There's the additional wrinkle that doctors may have to go back and re-bill patients for higher co-insurance once the payments are restored retroactively," Dr. Stubbs concluded. "If Congress then applies some short-term fix be it for six weeks or six months the added cost of rebilling will just add to the chaos."

Again repeating the sentiments of a multi-year ACP crusade, Dr. Stubbs said: "The only effective answer for patients and physicians, who operate small businesses, is a long-term solution to physician payments that provides predictable, positive and stable updates that keep pace with practice costs."


Contact: David Kinsman
American College of Physicians

Related medicine news :

1. Delayed retirement among Americans may bolster future of Social Security and Medicare, study finds
2. Women, Diabetics Fall Fast Into Medicare Doughnut Hole
3. Fresenius Medical Holdings, Inc. Ordered To Pay $19.4 Million For Fraudulent Medicare Claims
4. Rosenheck and Co. Launches New Website Outlining Medicare Supplement Services for Oklahoma and Texas
5. CCH Briefing Highlights Employer, Medicare Provisions of Health Care Reform Proposals
6. Medicare Supplement Plan N Information and Rates Now Available Through Precision Senior Marketing
7. Detroit-Area Doctor Convicted in Medicare Fraud Scheme
8. RetireSafe Urges All Seniors to Call on Congress to Save Physician Hospitals Quality Care for Medicare Patients
9. MARC Coalition Supports Medicare Secondary Payer Enhancement Act (MSPEA)/H.R. 4796
10. Beware of Getting Caught in the Crossfire, Warns MediCare International
11. Chicago Hospital to Pay More Than $1.5 Million to Resolve Medicare False Claims Act Allegations
Post Your Comments:
(Date:6/25/2016)... , ... June 25, 2016 , ... "With 30 hand-drawn ... specific project," said Christina Austin - CEO of Pixel Film Studios. , ProHand ... all within Final Cut Pro X . Simply select a ProHand generator and ...
(Date:6/25/2016)... ... ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter of ... too high can result in disappointment, perhaps even self-loathing. However, those who set the ... Research from reveals that behind the tendency to set low expectations ...
(Date:6/24/2016)... ... 2016 , ... The Pulmonary Hypertension Association (PHA) learned during ... two significant new grants to support its work to advance research and patient ... recognizing patients, medical professionals and scientists for their work in fighting pulmonary hypertension ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening ... Talker Award, an essay contest in which patients and their families pay tribute to ... at the 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this ...
(Date:6/24/2016)... ... ... National recruitment firm Slone Partners is pleased to announce the placement of ... President of North American Capital Sales at HTG Molecular . , ... the commercialization of the HTG EdgeSeq system and associated reagents in North America. , ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016   Bay Area Lyme Foundation , ... Center for Tick Borne Illness , Harvard Medical ... Hacking Medicine, University of California, Berkeley, and the ... five finalists of Lyme Innovation , the ... 100 scientists, clinicians, researchers, entrepreneurs, and investors from ...
(Date:6/24/2016)... ANDOVER, Mass. and SAN CLEMENTE, Calif. ... California -based mobile pulmonary function testing company, is now ... portable PFT devices developed by ndd Medical Technologies , Inc. ... PFT testing done in hospital-based labs.  Thanks to ndd,s EasyOne PRO ... CA , can get any needed testing done in the ...
(Date:6/24/2016)... , June 24, 2016  Arkis BioSciences, a ... invasive and more durable cerebrospinal fluid treatments, today ... The Series-A funding is led by Innova Memphis, ... and other private investors.  Arkis, new financing will ... and the market release of its in-licensed Endexo® ...
Breaking Medicine Technology: