News Now recently reported that the Centers Medicare and Medicaid Services (CMS) was working on system changes to address errors in payment amounts under the multiple procedure payment reduction (MPPR) policy. APTA learned yesterday that the fixes to the MPPR problems will be installed May 9. Once the systems changes are completed, contractors will adjust claims paid in error within the following 6 weeks.
We are on the second fix, the first being overpayment, and now Medicare significantly under paying for services and needing a second fix. Are they going to pay us for reprocessing all of our claims which are time consuming and costly. The MPPR is a very complicated at best situation. I'm wondering how many more errors and fixes we will encounter. Makes we not want to treat Medicare patients anymore.
Posted by Larry & JAnna Post
on 3/26/2011 12:11 AM
I thought our claims WERE begin paid correctly! Wonder what I'm missing in all this, it's so complicated!
Posted by Debbe Klaja
on 3/29/2011 6:15 PM
It is absolutely time to simplify Medicare's payment system. It is making private practioneers such as myself question if it is even worth treating medicare pts. Orthopaedic owned PT clinics in this area send all their medicare pts(poor reimbursement and hassles) out for others to deal with and keep only their better paying private insureds as pts.
Posted by John Thomas -> @KT^B
on 4/13/2011 12:38 PM