CMS Releases Corrected 2015 Conversion Factor and RVU Files

CMSIn a last minute move, CMS released newly-updated national Medicare RVU files for 2015 on December 30, 2014. In addition to making several RVU changes, CMS revised the January 1 – March 31, 2015 conversion factor from $35.8013 to $35.7547.

Medicare Administrative Contractors (MACs) have either removed, or are in the process of removing, original 2015 Medicare fee schedule files from their websites and expect to have the new fee schedule information on their websites no later than January 20, 2015.

In order for MACs to post and update their payment files, CMS will hold claims for 2015 service dates through January 14, 2015. The CMS announcement is as follows:

Holding of 2015 Date-of-Service Claims for Services Paid Under the 2015 Medicare Physician Fee Schedule
On November 13, 2014, the CY 2015 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register. In order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare Administrative Contractors will hold claims containing 2015 services paid under the MPFS for the first 14 calendar days of January 2015 (i.e., Thursday January 1 through Wednesday January 14). The hold should have minimal impact on provider cash flow as, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt.

MPFS claims for services rendered on or before Wednesday Dec 31, 2014 are unaffected by the 2015 claims hold and will be processed and paid under normal procedures and time frames.

The corrected RVU files can be found here.

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