what is medicare sequestration adjustmentwhat is medicare sequestration adjustment

If you are a non-participating provider (not enrolled in the Medicare program), and you see Medicare Part A and Part B patients, you will not be affected by this reduction; however, you must take the following actions: If you have any questions specific to your practice, contact your Medicare carrier or Medicare Administrative Contractor (MAC) in your region. The House of Representatives today voted 246-175 to approve H.R. The patient is responsible for the remaining 20% coinsurance amount of $10.00 ($50.00 - $40.00 = $10.00). Email | The non-participating provider who bills on an unassigned basis collects his/her full payment from the beneficiary, and Medicare reimburses the beneficiary the Medicare portion (e.g., 80% of the reduced fee schedule amount. You must use MCReF if you choose to submit electronically. Physicians and nonphysician practitioners who perform CPT codes 15271 15278: The National Correct Coding Initiative (NCCI) Policy Manual for Medicare Services annual update is effective January 1. Webadjustments for various Medicare quality programs. You can decide how often to receive updates. Share sensitive information only on official, secure websites. If you choose not to accept the agreement, you will return to the Noridian Medicare home page. The 2 percent is calculated only on the amount actually paid to the provider or patient, and not to the amount allowed. By Delly Parham, CPC Subscribe to the MLN Connects newsletter. Visit the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program Training webpage for more information. Program Applicable To Adjustment Amount Based on Calendar or Program Year (CY/PY) PQRS All EPs (Medicare physicians, practitioners, therapists) -2.0 percent of Medicare Physician Fee Schedule (MPFS) 2016 PY Medicare EHR Incentive Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Font Size: CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. WebSequestration Update on Sequestration The Protecting Medicare and American Farmers from Sequester Cuts Act was signed into law on December 10, 2021. A revised Medicare Learning Network Diagnosis Coding: Using the ICD-10-CM web-based training course is available. We updated the OTP webpages and the Billing & Payment (PDF) booklet with this and other new information. WebMedicare Sequestration Reduction Adjustment Effective Today Posted in: Medicare Updates As we have previously informed, due to congressional action taken in December 2021, effective today, April 1, 2022, all Medicare fee-for-service claims are subject to a 1% sequestration payment reduction. else{document.getElementById("usprov").href="/web/"+"jeb"+"/help/us-government-rights";}, Advance Beneficiary Notice of Noncoverage (ABN), Oral Anticancer Drugs and Oral Antiemetic Drugs, Transcutaneous Electrical Nerve Stimulators (TENS), Supplemental Medical Review Contractor (SMRC), Unified Program Integrity Contractor (UPIC), Provider Outreach and Education Advisory Group (POE AG), Healthcare Integrated General Ledger Accounting System (HIGLAS), click here to see all U.S. Government Rights Provisions, American Hospital Association Online Store, No payment adjustment through March 31, 2022, 1% payment adjustment April 1 - June 30, 2022, 2% payment adjustment beginning July 1, 2022. Medical billers do not need to resubmit claims to MACs, according to CMS April 16 MLN Connects. Learn more. Although hardly good news, cuts to the Medicare program are lower than cuts made to other federal programs. In June of 2013 CMS created a new code, CO-253 to replace CO-223. Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March. The AMA is a third-party beneficiary to this license. Tip: Check each of your payers policies for their handling of the 2 percent payment adjustment. Importantly, CDC is not seeing these events with the Pfizer-BioNTech or Moderna COVID-19 vaccines. Earn CEUs and the respect of your peers. However, this suspension will extend the inevitable necessary budget cuts. That code went effective on January 6th so if you havent implemented this change yet, contact your system manager, billing team or vendor right away. View the complete, Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through December, COVID-19 Vaccine: Check Medicare Eligibility Starting April 16, Johnson & Johnson COVID-19 Vaccine: Information for Long Term Care Facilities, Medicare Telehealth Services: Updated List, Sexual Health: Medicare Covers Preventive Services, Medicare Part A Cost Report: Easier File Uploads for e-Filing in MCReF Webcast April 29, IRF Providers: Assessment of Cognitive Function Web-Based Training, Diagnosis Coding: Using the ICD-10-CM Web-Based Training Revised, Procedure Coding: Using the ICD-10-PCS Web-Based Training Revised, Joint Media Call: FDA & CDC to Discuss Janssen COVID-19 Vaccine, Frequently Asked Questions about VAERS Reporting for COVID-19 Vaccines, Medicare Part B medically necessary service, Medicare Coverage and Payment of Virtual Services, Medicare Claims Processing Manual, Chapter 12 (PDF), Medicare Telehealth Payment Eligibility Analyzer, Register for our Medicare Learning Network webcast, Inpatient Rehabilitation Facility (IRF) Quality Reporting Program Training. To pay for the change, the bill would increase the fiscal year 2030 sequester cuts. Follow the MLN on Twitter #CMSMLN, and visit us on YouTube. The Budget Control Act requires $1.2 trillion in federal spending cuts be achieved over the course of nine years. 2% Payment Adjustment (Sequestration) Begins July 1, 2022. These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). Did you know that Medicare covers the following preventive services to protect your patients sexual health? Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT"). Participating clinicians will continue to receive full payment of their Medicare claims during this time. We hope the information will be useful for you to become more educated about your health care decisions. if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} WebThe Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the -2% sequestration payment adjustment on Medicare fee-for-service payment. Design & Development by Goldman Marketing Group | Sitemap | Privacy Policy |. IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE ON THE LINK LABELED "I Do Not Accept" AND EXIT FROM THIS COMPUTER SCREEN. Sign up to get the latest information about your choice of CMS topics. Question: Will the 2% reduction be reported on the remittance advice in a separate field? It applies to all Part A payers that reimburse like Medicare. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through December. Entities that file cost reports for providers, This newsletter is current as of the issue date. .gov ( 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, In 2013 President Obama ordered a payment sequestration reducing Medicare fee-for-service payments by 2% across the board [1]. At any time, and for any lawful Government purpose, the government may monitor, record, and audit your system usage and/or intercept, search and seize any communication or data transiting or stored on this system. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. You can help reduce these disparities and increase flu shot use: Medicare Part B covers 1 flu shot per flu season and additional flu shots, if medically necessary. WebSequestration is applied to claim payment amounts after coinsurance, deductible, other payment reductions and Medicare Secondary Payment adjustments (if applicable) are applied. The Consolidated In 2013 President Obama ordered a payment sequestration reducing Medicare fee-for-service payments by 2% across the board [1]. No payment adjustment through March 31, 2022 1% payment adjustment April 1 - June 30, 2022 2% payment adjustment beginning July 1, 2022 According to an MLN Connects Special Edition from CMS, the claims hold was to be for a short period without affecting providers cash flow. The purpose of the hold, the message continued, was to minimize the volume of claims the MACS must reprocess if Congress extends the suspension .. The CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Bookmark | 1% payment adjustment April 1 June 30, 2022. What are the different payment adjustment amounts? The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the sequestration payment adjustment percentage of 2% applied to all Medicare Fee-for-Service (FFS) claims from May 1 through December 31, 2020. This newsletter is current as of the issue date. Non-participating Providers Below youll find an EMR software update checklist to help you keep track of what needs to get updated and when. CDT is a trademark of the ADA. Question: What is the verbiage for CARC 253? The Budget Control Act requires that $1.2 trillion in federal spending cuts be achieved over the course of nine years. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. The Medicare sequestration is applied on all the claims and adjusted claims for the services and the equipment used after the date -of service or date-of-discharge, and date-of-rented equipment respectively after April 1, 2013, and the reduction of 2% will continue till further notice. The CO and CQ modifiers to indicate services performed by OTAs and PTAs, respectively, have been required on claims since January 1, 2020. Its also available in hard copy, accessible formats, and other languages. These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright 2002, 2004 American Dental Association (ADA). Has your EMR software been updated to accurately reflect these changes? The adjustment is imposed on the 80 percent of allowed charges that participating physicians receive directly from Medicare. No fee schedules, basic unit, relative values or related listings are included in CDT-4. The 2 percent reduction will not apply to the deductible or coinsurance owed by the patient. The Senate today passed by 90-2 vote a bill that, among other health care provisions, would eliminate the 2% across-the-board cut to all Medicare payments, known as sequestration, until the end of 2021. or Question: How will the payments be calculated on the claims? Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Changes 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 1% payment adjustment April 1 June 30, 2022 2% payment WebMedicare payment. You can decide how often to receive updates. website belongs to an official government organization in the United States. This license will terminate upon notice to you if you violate the terms of this license. On March 30, CMS published an updated Medicare telehealth services list. Question: How is the 2% payment reduction under sequestration identified on the electronic remittance advice (ERA) and the standard paper remittance (SPR)? The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the payment adjustment percentage of 2% applied to all Medicare Fee-For-Service (FFS) claims from May 1 through December 31. All Rights Reserved (or such other date of publication of CPT). CMS DISCLAIMER. Have suggestions? An Act to Prevent Across-the-Board Direct Spending Cuts, and for Other Purposes, signed into law on April 14, 2021, extended the suspension period to December 31, 2021. click here to see all U.S. Government Rights Provisions, 26 Century Blvd Ste ST610, Nashville, TN 37214-3685. 1868, a bill that, among other health care provisions, would eliminate the 2% across-the-board cut to all Medicare payments, known as sequestration, until the end of 2021. Answer: "Sequestration reduction in federal payment.". A revised Medicare Learning Network Procedure Coding: Using the ICD-10-PCS web-based training course is available. You acknowledge that the AMA holds all copyright, trademark, and other rights in CPT. Webadjustments for various Medicare quality programs. Participating Providers The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. With VPD, sequenced Medicare A claims released too soon can pay incorrect VBP amounts, resulting in true credit balances. Congress in legislation enacted last year paused the cuts, but they are expected to resume April 1 Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through December. Users must adhere to CMS Information Security Policies, Standards, and Procedures. .gov No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. WebSequestration is applied to claim payment amounts after coinsurance, deductible, other payment reductions and Medicare Secondary Payment adjustments (if applicable) are applied. This information is not intended to replace a medical consultation where a physicians judgment may advise you about specific disorders, conditions and or treatment options. The Senate today passed by 90-2 vote a bill that, among other health care provisions, would eliminate the 2% across-the-board cut to all Medicare payments, known as sequestration, until the end of 2021. Answer: For DME claims, the adjustment is reported at the line level. Medicare Administrative Contractors will: Starting April 16, in addition to screening your patients, you cancheck Medicare eligibility (PDF)for COVID-19 vaccine administration history from Fee-for-Service (FFS) claims paid for calendar years 2020 and 2021. In other words, the 2 percent will be taken from only the calculated payment amount after the deductible is met, and it does not include the co-insurance. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. This means that physicians will see a 2% payment increase The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the sequestration payment adjustment percentage of 2% applied to all Medicare Fee-for-Service (FFS) claims from May 1 through December 31, 2020. Medicare will apply the 2 percent reduction to the actual amount paid to your patients, for example. An Office of Inspector General (OIG) report found that CMS improperly paid for some telehealth claims associated with services that didnt meet Medicare requirements. The adjustment is imposed on the 80 percent of allowed charges that participating physicians receive directly from Medicare. If you vaccinate or administer monoclonal antibody treatment to patients enrolled in Medicare Advantage (MA) plans on or after January 1, 2022, submit claims to the MA Plan. The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. The Budget Control Act requires $1.2 trillion in federal spending cuts be achieved over the course of nine years. CDT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. The AMA does not directly or indirectly practice medicine or dispense medical services. Tech & Innovation in Healthcare eNewsletter, IDR Payment Determinations Resume Under No Surprises Act, Healthcare Provider Relief Payments Break the Bank, Take 5: Medicare News You Can Use July 2021, 2009 Medicare Premiums and MPFS Rates Status Quo, Democratic Health Care Reform Plan Unveiled. Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. WebWhen electronically submitting a secondary (COB) claim on which Medicare has made a payment, the federal sequestration adjustment amount must be populated from the Medicare remittance using remark/reason code 253, in addition to all other Medicare payment and adjustment amounts. Have you found that your Medicare claim payments do not match your outstanding accounts receivable (AR) balances and you think they should? As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. Starting January 1, 2022, these services performed by therapy assistants (PTAs and OTAs) are now reimbursed at 85% of the otherwise applicable Part B payment amount. This license will terminate upon notice to you if you violate the terms of this license. Applications are available at the American Dental Association web site, http://www.ADA.org. Has your EMR software been updated to accurately reflect these changes? In December 2021, CMS announced plans to reinstate, gradually, the 2% sequestration payment reductions starting at 1% on April 1, 2022, and increasing back to the full 2% reduction effective July 1, 2022. 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, The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare Fee-for-Service (FFS) claims: According to the CDC, people of racial and ethnic communities experience higher rates of severe flu-related illness and hospitalization, and they historically have lower vaccination rates than non-Hispanic White people. Track the status of cost reports with fiscal years ending after December 31, 2009. Sequestration Medicare FFS claims: 2% payment adjustment (sequestration) changes The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare fee-for-service claims: No payment adjustment through March 31, 2022 1% payment adjustment April 1 June 30, 2022 2% payment The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. View the complete disclaimer. Specialized Solutions, Global Capabilities. Please. The CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. The scope of this license is determined by the AMA, the copyright holder. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen. Learn how to: Like the newsletter? 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. Follow the MLN on Twitter #CMSMLN, and visit us on YouTube. Previous issues are available in the archive. The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the payment adjustment percentage of 2% applied to all Medicare Fee-For-Service (FFS) claims from May 1 through December 31. var url = document.URL; Original Medicare wont pay these claims. Please let us know! Though beneficiary payments for deductibles and coinsurance are not subject to the 2 percent payment reduction, Medicare's payment to beneficiaries for unassigned claims is subject to the 2 percent reduction. 2. An official website of the United States government The Medicare sequestration is applied on all the claims and adjusted claims for the services and the equipment used after the date -of service or date-of-discharge, and date-of-rented equipment respectively after April 1, 2013, and the reduction of 2% will continue till further notice. + | You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. There are 2 ways to provide this covered service: During National Health Care Decisions Day, discuss ACP, including advance directives, with your patients. Celtic Consulting partners with post-acute care providers, to create sustainable solutions through the promotion of quality, efficiency, and compliance. This means that physicians will see a 2% payment increase Making copies or utilizing the content of the UB-04 Manual or UB-04 Data File, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual / Data File or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. Contact Celtic today to discuss your options. Question: How are unassigned claims affected by the 2% reduction under sequestration? CMS DISCLAIMER. End users do not act for or on behalf of the CMS. There are no exemptions provided in the law for drugs or any other health care item or service provided under the fee-for-service program. Under sequestration, be aware that: The current allowed fees remain unchanged. You have the option to electronically transmit your cost report through MCReF or mail or hand deliver it to your Medicare Administrative Contractor. Sign up to get the latest information about your choice of CMS topics. We are looking for thought leaders to contribute content to AAPCs Knowledge Center. Watch the Medicare Coverage and Payment of Virtual Services video to help you bill correctly. The wording was confusing and has been changed to that had the reduction applied., Copyright 2023, AAPC You state with the reduction applied, Krystal, thanks for pointing this out. The initial and subsequent monthly rental payments billed with a "FROM" date of service beginning on or prior to March 31, 2013 would not be affected by the 2% reduction. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". The AMA does not directly or indirectly practice medicine or dispense medical services. Medicare Payment Adjustments (Sequestration) Are Back Beginning April 1, 2022 Beginning April 1, 2022- Sequestration Resumes for Medicare Claims. These reports summarize provider-specific data for Medicare services that may be at risk for improper payments. Answer: Though beneficiary payments toward deductibles and coinsurance are not subject to the 2% payment reduction, Medicare's payment to beneficiaries for unassigned claims is subject to the 2% reduction. Receive Medicare's "Latest Updates" each week. Program Applicable To Adjustment Amount Based on Calendar or Program Year (CY/PY) PQRS All EPs (Medicare physicians, practitioners, therapists) -2.0 percent of Medicare Physician Fee Schedule (MPFS) 2016 PY Medicare EHR Incentive 100-08, Summary of Policies in the Calendar Year (CY) 2022 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List Revised, Opioid Treatment Programs (OTPs) Medicare Billing & Payment Revised, CDC Seasonal Influenza Vaccination Resources for Health Professionals, Flu Shot information for your Medicare patients, Calendar Year (CY) 2022 Physician Fee Schedule final rule, Medicare Billing for COVID-19 Vaccine Shot Administration, National Correct Coding Initiative (NCCI) Policy Manual for Medicare Services, Read about the Calendar Year 2022 DMEPOS fee schedule annual update (PDF), Learn about Medicare enrollment changes that affect a variety of provider types, including physician assistants (PDF), Learn about revisions to telehealth service coverage (PDF), Learn about new HCPCS codes and modifiers (PDF), No payment adjustment through March 31, 2022, 1% payment adjustment April 1 June 30, 2022, 2% payment adjustment beginning July 1, 2022, Non-Hispanic Black people (69 per 100,000), Non-Hispanic American Indian or Alaskan Native people (49 per 100,000), Hispanic or Latino people (45 per 100,000), Non-Hispanic White people (38 per 100,000), Non-Hispanic Asian people (32 per 100,000), 41.5 % non-Hispanic American Indian or Alaskan Native people, Use each office visit to talk to your patients about why its important to get the flu shot, After the end of the COVID-19 public health emergency (PHE), CMS will allow audio-only interactions (like telephone calls) when audio-video communication isnt available to the patient or the patient cant or wont agree to 2-way audio-video communication, CMS established HCPCS code G1028 for a higher dose of naloxone hydrochloride nasal spray in response to the increase in overdoses from illicitly-manufactured fentanyl, which can require a more potent overdose reversal drug, Modifier 95: for counseling and therapy provided using audio-video telecommunications, Modifier FQ: for counseling and therapy provided using audio-only telecommunications, Next data reporting period is January 1 March 31, 2023, Reporting is based on the original data collection period, January 1 June 30, 2019, No paymentreductions for Calendar Years (CYs) 2021 and 2022, Payment wont be reduced by more than 15% for CYs 2023 through 2025, Part A and B Medicare Administrative Contractors will hold claims for vaccines provided after December 31 until pricing is set, CMS will deny claims for vaccines provided before July 16, You may bill separately for skin substitute codes A2001 A2010 when applied in a non-facility setting, Report the appropriate application of skin substitute CPT code(s) 15271 15278 and the appropriate charge on the same claim with the skin substitute A code, We will pay for skin substitutes assigned A codes separately from the physicians office for the application procedure, similar to skin substitutes with Q code and their application, Codes A2001 A2010 will be priced by your Medicare Administrative Contractor when billed with CPT codes 15271 15278, Use HCPCS code G1028 Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 mL nasal spray, Use HCPCS code G2215 Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 mL nasal spray, Add Modifier 95 to your claim for counseling and therapy you provide by audio-video telecommunications using HCPCS code G2080 after the Public Health Emergency (PHE) ends, Add Modifier FQ if you provide audio-only counseling or therapy services after the PHE ends, See updated Table 1: MAT Codes, Descriptors, & National Medicare Payment Rates to include updated rates, new HCPCS code G1028 and revised definition of HCPCS code G2215, Cognitive assessment & care plan services, Blood-based biomarker screening test for colorectal cancer. means youve safely connected to the .gov website. The Medicare sequestration is applied on all the claims and adjusted claims for the services and the equipment used after the date -of service or date-of-discharge, and date-of-rented equipment respectively after April 1, 2013, and the reduction of 2% will continue till further notice. Federal Sequestration Payment Reductions, Copyright 2023, AAPC This Agreement will terminate upon notice if you violate its terms. Both are claims payments, just to different parties. The Budget Control Act requires $1.2 trillion in federal spending cuts be achieved over the course of nine years. No payment adjustment through March 31, 2022 1% payment adjustment April 1 - June 30, 2022 2% payment adjustment beginning July 1, 2022

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