Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction Suspension

April 2, 2021
Policy Snapshot

In anticipation of possible congressional action to extend the 2% sequester reduction suspension, CMS instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021, for a short period without affecting providers’ cash flow. This will minimize the volume of claims the MACs must reprocess if Congress extends the suspension; the MACs will automatically reprocess any claims paid with the reduction applied if necessary. 

The Society continues to advocate for legislation to suspend sequestration for 2021.