Call Now 703-327-1800

Contact    Blog       About     Resources      Medical Billing Services


4 Important Things That Affect Doctors This April Fool’s Day. No Joke.

Health Insurance Companies Process 1 in 5 Claims Wrong

Medicare Increases Physician Reimbursements by 109% Today!

Just kidding…April Fools.

No, the government did not increase doctors’ reimbursements today. But this April Fool’s Day, 2014, does bring a lot of changes that affect physicians’ offices immediately.

These changes include:

  1. The 24% Medicare cut will not go into effect April 1
  2. ICD-10 has been postponed to October 1, 2015.
  3. The newly refined CMS-1500 paper claim forms (aka HCFAs) must be used in order to get paid by Medicare and commercial payers
  4. CMS is holding Medicare claims for the next 10 days starting April 1, 2014

24% Medicare Cut

Congress voted on delaying a 24% cut in Medicare reimbursements until April 1, 2015. Great news for physicians, medical offices and other health care facilities around the country, but come next April we’ll be in the same boat again, with substantial Medicare cuts looming in our not so distant future.

ICD-10 Delay

As for ICD-10, that has been delayed until October 1, 2015, pushing it back ANOTHER full year. Now, billers, coders, software vendors will all have extra time to get ready for the big change in diagnosis coding that will take effect one day soon.

New CMS-1500 Form

The new CMS 1500 forms dated 2/12, goes in effect today, April 1, 2014. If you do not use one of the new CMS 1500 forms when submitting your paper claims to insurance (if you’re still submitting paper claims to insurance) those paper claims will be returned right back to you. Medicare insurance companies are not accepting the old claims. Might as well just throw those out.

CMS Will Hold Claims

In a notice sent out by CMS at the end of March, CMS said that they will be holding claims for 10 days starting April 1. This is due to the fact that as of 12:01 AM, April 1, President Barack Obama had not signed the bill that came from Congress delaying the 24% cut in Medicare.

CMS did not know which fee schedule to use, either keep the old one or implement the new one into their system. These 10 days allows CMS to update their computer systems as soon as the President signs the bill into law.

So, are you relieved ICD-10 is postponed for another year? I know you’re glad there’s no 24% cut in Medicare. And what about CMS holding your Medicare claims for 10 days?

Leave me your thoughts and comments below. I always love hearing from you.

is a 20 year veteran of healthcare having managed medical practices. He advises medical practices, physicians and practice administrators on how to run their practice and manage their medical billing and revenue cycle management. Manny speaks, blogs and makes videos at www.CaptureBilling.com, a blog that is tops in the medical billing and coding field. READ MORE

If You Liked This Post You Will Love These

Leave a reply

Who Are We?

Capture Billing helps medical practices by reducing their insurance accounts receivable and getting claims paid faster, allowing doctors to focus on providing quality healthcare to their patients without the stress of doing their own medical billing.

That’s why we developed Capture Billing’s Rapid Revenue Recovery System to keep our clients’ Accounts Receivables down and their revenue flowing.

Learn More


The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

Learn how to outsource your Medical Billing today

CALL NOW  703-327-1800

Client Testimonials

Bob Laird


I would recommend Capture Billing to anyone who needs a billing company they can trust.

Bob Laird

Steve Rex

Family Practice

In a six month period Capture Billing increased our Practice’s income by over $100,000.

Steve Rex

Julie Reed-Humeniuk

Family Practice

Capture Billing goes over and beyond the call of duty for their clients to maximizing reimbursement.

Julie Reed-Humeniuk

CaptureBilling.com - Medical Billing Services

Capture Billing is a Medical Billing Company based in South Riding Virginia.

Join the other Doctors and Practice Managers that have benefited from our expert medical billing services.

Capture Billing & Consulting Inc.
25055 Riding Plaza #160
South Riding, VA 20152
Phone: (703) 327-1800