Tag: government shutdown
CMS to MACs: Lift claims hold
October 28, 2025HME News Staff
WASHINGTON – CMS has instructed all Medicare Administrative Contractors (MACs) to lift the claims hold and process claims with dates of service Oct. 1, 2025, and later for certain services impacted by select expired Medicare legislative payment provisions passed under the Full-Year Continuing Appropriations and Extensions Act of 2025.
This includes claims paid under the:
Medicare Physician Fee Schedule
Ground ambulance transport
Federally Qualified Health...
ATA calls for short-term solution to lapsed telehealth flexibilities
October 28, 2025HME News Staff
WASHINGTON – ATA Action, the advocacy arm of the American Telehealth Association (ATA) is calling on Congress and the administration to quickly enact a short-term solution to what it says are escalating disruptions in patient care. “The expiration of Medicare telehealth flexibilities has an immediate and deeply concerning impact on patients and providers across the communities we serve,” said Sara Collins, assistant vice president, Professional Medical Affairs and Telehealth for...
In brief: Claims still on hold, Medline recognition, Soleo Health expansion
October 17, 2025HME News Staff
WASHINGTON – At press time, CMS has instructed all Medicare Administrative Contractors (MACs) to continue to temporarily hold claims with dates of service of Oct. 1, 2025, and later for services impacted by the expired Medicare legislative payment provisions passed under the Full-Year Continuing Appropriations and Extensions Act 2025. This includes all claims paid under the Medicare Physician Fee Schedule, ground ambulance transport claims, and all Federally Qualified Health Center claims....
CMS tells MACs to continue holding claims
October 16, 2025HME News Staff
WASHINGTON – In anticipation of possible Congressional action, CMS has instructed all Medicare Administrative Contractors (MACs) to continue to temporarily hold claims with dates of service of Oct. 1, 2025, and later for services impacted by the expired Medicare legislative payment provisions passed under the Full-Year Continuing Appropriations and Extensions Act, 2025. This includes all claims paid under the Medicare Physician Fee Schedule, ground ambulance transport claims, and all Federally...
Shutdown could add ‘layer of complexity’ to Medicare competitive bidding timeline
October 3, 2025Theresa Flaherty, Managing Editor
WASHINGTON – As lawmakers on both sides of the aisle continue to dig in their heels, one of the big questions for HME stakeholders about the federal government shutdown: Will it delay the final rule on the next round of competitive bidding?
Based on historical timelines, stakeholders expect CMS to release the final rule, in theory, around Oct. 31.
“Does it help us?” said Cara Bachenheimer, head of the Government Affairs Practice at Brown & Fortunato, of the shutdown,...
Medicare stays online, but CMS pauses key services in shutdown
October 1, 2025HME News Staff
WASHINGTON – The Medicare program will continue during the current government shutdown, but other activities, such as policy and rulemaking, may not continue, according to a contingency plan posted to the Centers for Medicare and Medicaid Services website.
According to the plan, posted on Sept. 25, ahead of the shutdown at midnight on Sept. 30:
Activities that will continue
In addition to Medicare, other non-discretionary activities, including Health Care Fraud and...