The 2015 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register in mid-November 2014. In order to implement corrections to technical errors discovered after publication for proper claims processing, Medicare Administrative Contractors will hold claims containing 2015 dates of service paid under the MPFS for the first 14 calendar days of January 2015.
The hold should have minimal impact on provider cash flow as, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date received. MPFS claims for services rendered on or before Wednesday Dec 31, 2014 are unaffected by the 2015 claims hold and will be processed and paid under normal procedures and time frames.