Some of you may have received notices from Medicare that they will be holding claims until January 28, so that CMS can make necessary claim system updates. Holding them for 28 days is very difficult for providers to cope with.
ASIPP has contacted CMS through our advocacy team of Jeff Mortier and Randi Hutchinson. Chairman James Comer and Senator John Boozman contacted them on our behalf and expressed concern on the policy. Following this, they received a response from CMS stating that they will be holding claims until January 14 instead of the 28th to make the necessary claims system updates, which is part of the normal process.
The following is the full text from CMS:
The MACs are holding claims until January 14th to make the necessary claims system updates, which is part of the normal process when we implement extenders legislation. The MACs should not be denying these claims. CMS has directed the MACs to make any necessary changes before claims are released to pay telehealth claims dates of service 1/1/25 through 3/31/25 with all of the same flexibilities that applied to telehealth and related services for 2024. In addition, if any claims were processed incorrectly, the MACs have been directed to automatically adjust the claims.
CMS is also actively working to update public-facing information to ensure health care providers and beneficiaries are aware of the temporary extension.
We hope this information will be helpful to you. If you have any issues for beyond January 14, please feel free to contact us so we can contact CMS.
