Last week, by a vote of 392 – 37, the House of Representatives passed H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015, which, among other things, would permanently repeal and replace the SGR formula.
Then the Senate adjourned at approximately 4:00am on March 27th without taking any action on H.R. 2 and is now on a two week “state work period” and will reconvene on April 13th.
The Senate Leadership has said that the SGR bill will be one of the first orders of business on their agenda when the Senate reconvenes. Furthermore, we fully expect that when the Senate does act in concert with the House, any SGR fix they adopt will be retroactive to April 1st. However, even with a fix retroactive to April 1st, there will still be negative short term financial consequences for radiologists.
At this point we recommend holding April claims in hopes that the legislation will be passed shortly after the Senate returns on the 13th. This would prevent the need to reprocess those claims.
We will continue to make every effort to provide you with the most up-to-date information as it becomes available so you can make an informed decision on whether or not to hold early April claims.
Kirk Reinitz, CPA