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CMS to Temporarily Hold Claims Pending Action on Sequester

Mar 31, 2021, 09:34 AM by User Not Found

In anticipation of Congressional action to extend the 2% sequester moratorium through December 31, 2021, the Medicare Administrative Contractors (MACS) have been instructed to hold all claims with dates of service on or after April 1, 2021 for a short period.

The current moratorium is set to expire on March 31, 2021, which would result in claims being paid at a rate reduced by 2% effective April 1, 2021.

This hold is intended to minimize the volume of claims that would require reprocessing if the moratorium is extended.

AAPM&R is monitoring the progress of sequester legislation and will share news with members as it becomes available.