Medicare Final Rule To Be Delayed

By Joy Newby, LPN, CPC
Newby Consulting, Inc.

Dateline: October 24, 2013

We received the following notice from Wisconsin Physician Services (WPS) that provides information on when the Centers for Medicare & Medicaid Services (CMS) plans to complete and publish the Medicare final rule for calendar year 2014. WPS requested this information be sent to members. 

"Although we are still assessing the impact of the partial government shutdown on completion of the calendar year 2014 Medicare fee for service payment regulations, we intend to issue the final rules on or before November 27, 2013, generally to be effective on January 1, 2014. The impacted regulations include:

  • Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2014 Final Rule with Comment Period (CMS-1600-FC)
  • Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (CMS-1526-F)
  •  CY 2014 Changes to the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System (CMS-1601-FC)
  • CY 2014 Home Health Prospective Payment System Final Rule (CMS-1450-F)"

NCI Comment: At this time, we do not anticipate this delay will impact the implementation of the 2014 fee schedule or that it will slow down claim processing on and after 1/1/2014. 

FYI: Date for ICD-10 implementation remains 10/1/2014