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No Medicare Cuts in 2013 for Physician Offices

Health Insurance Companies Process 1 in 5 Claims Wrong

Medicare Reimbursements Not Changing in 2013

Good news for doctors’ offices. The 26.5% cut in Medicare reimbursements to take effect January 1, 2013 has been averted as both the Senate and House voted to pass the “Fiscal Cliff” bill delaying Medicare cuts and adjustments to payments.

According to bill reimbursement rates for Medicare will not change for 2013. Physicians can breathe a sigh of relief this year but come January 1, 2014 Medicare rates can once again change.

Congress still needs to control long-term healthcare spending. Rising the Medicare eligibility age and increasing premiums for patients are just two ways Congress may vote cut spending that will affect practices and patients. There may also be changes in the Affordable Care Act (ObamaCare) cutting planned Medicare and Medicaid rate increases for primary care physicians.

What does this mean for filing Medicare claims today?

For our doctors and medical practices this means that we will not be holding any Medicare claims like we had to do in previous years. Our claims will be going out as usual.  Medicare payments will be the same as last year so we don’t have to adjust our fees and we will not have to cut back on office expenses due to the lower reimbursements (which usually means staff).

All is good . . . for now.

[POST UPDATE] See new post about Medicare holding claims  —  CLICK HERE

So now it’s your turn. Leave me a comment below about any plans your practice has in dealing with future cuts in Medicare when they happen.

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

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4 Responses to No Medicare Cuts in 2013 for Physician Offices

  1. Take away my Medicare or cut it then give me a tax refund. That’s my money not yours to do whatever you want with my health and future.

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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.

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