2013 Medicare Physician Fee Schedule – CALL TO ACTION

Dear Members

The negative update of 27% under current law for the 2013 Medicare Physician Fee Schedule is scheduled to take effect on January 1, 2013. 

Medicare Physician Fee Schedule claims for services rendered on or before December 31, 2012, are unaffected by the 2013 payment cut and will be processed and paid under normal procedures and time frames.

The Administration is disappointed that Congress has failed to pass a solution to eliminate the sustainable growth rate (SGR) formula-driven cuts, and has put payments for health care for Medicare beneficiaries at risk. Everyone should  continue to urge Congress to take action to ensure these cuts do not take effect. Given the current progress with the legislation, CMS must take steps to implement the negative update.

Under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt. CMS will notify you on or before January 11, 2013, with more information about the status of Congressional action to avert the negative update and next steps.

The time for Congress to act to prevent cuts and protect access to care is NOW. Let your voice be heard and demand that Congress take action before Jan. 1.

These cuts, combined with potential penalties physicians already face for non-participation in several Medicare programs, threaten access to care for Medicare patients nationwide, including 2.2 million in Pennsylvania alone.

The short-term SGR patches that Congress has continued to use over the past decade have done nothing more than put a Band-Aid on a flawed formula, increasing the cost of permanent repeal, creating instability for physicians’ practices, and limiting access to care for millions of Medicare patients.

It’s time for the delays and short-term patches to come to an end TODAY.  Call on Congress to take action NOW to stop Medicare cuts and prevent the effects of the fiscal cliff.


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