Information Regarding the 2015 Medicare Physician Fee Schedule > Michigan State Medical Society


Information Regarding the 2015 Medicare Physician Fee Schedule

The negative update of 21% under current law for the Medicare Physician Fee Schedule is scheduled to take effect on April 1, 2015. Medicare Physician Fee Schedule claims for services rendered on or before March 31, 2015, are unaffected by the payment cut and will be processed and paid under normal procedures and time frames. The Administration urges Congress to take action to ensure these cuts do not take effect. However, until that happens, CMS must take steps to implement the negative update. Under current law, electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt. CMS will notify you on or before April 11, 2015, with more information about the status of Congressional action to avert the negative update and next steps.

Recently the House of Representatives took a serious step towards repealing Medicare's flawed sustainable growth rate (SGR) formula by overwhelmingly passing H.R. 2 (formerly H.R 1470/S. 810), bipartisan legislation that would repeal the SGR and clear the way for a 21st century Medicare physician payment system. Now it's the Senate's turn to act. This formula is hurting physicians and patients by annually threatening payment cuts that will impact a patients' choice of physician and access to the care that they need. Please take a moment to send a customizable email urging your Senators to continue working in a bipartisan manner to protect Medicare and seniors' choice of physician by passing this legislation that would repeal the flawed Medicare SGR formula before the March 31 deadline.

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