Retroactive Payments for DXAs Finally on the Way
Date: January 07, 2011
The Medicare and Medicaid Extenders Act of 2010, Public Law 111, signed last month by President Obama, included a provision that will finally allow the Centers for Medicare and Medicaid Services (CMS) to pay physicians for the retroactive claims for DXA services provided between January of 2010 and July of 2010.
In July of 2010, Medicare carriers began paying an additional $35 per DXA scan, as required by the Health Care Reform bill known as (PPACA). The reimbursement for DXA went from a national average of $62 to $98. While CMS ordered Medicare carriers to pay the new higher rate going forward, CMS did not have the funds to pay the administrative costs associated with reprocessing the more than 350 million claims required by the new law. As a result, those retroactive payments for services rendered during the first half of the year were held up.