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Resources: Phase 4 Payments and Sequestration Medicare FFS Claims

Posted by Admin Posted on Dec 21 2021

Phase 4 Payments

On December 16, The Department of Health and Human Services (HHS) sent notifications to facilities regarding Phase 4 payments. The Phase 4 payments included a base payment and/or bonus payment. The Base payments were calculated as a percentage of expenses and revenues reported in your application for the period from July 1, 2020 to March 31, 2021. Bonus payment were calculated based on Medicare, Medicaid and CHIP administrative claims data from January 1, 2019 through September 30, 2020.  

More detailed information on payment methodology is available here.


Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Changes

CMS posted the below information in their December 16th MLN Connects. The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare Fee-for-Service (FFS) claims:

•    No payment adjustment through March 31, 2022
•    Contact information for one or two individuals from your organization to support administration and oversight of your account
•    1% payment adjustment April 1 – June 30, 2022
•    2% payment adjustment beginning July 1, 2022

Click here for more information.

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