RE: [MedicalBillers] Sequestration 2% cut from Commercial Payers?
- HELLO, FORUM
Any acupuncture billing persons out there. Please respond I have some questions to ask. Thanks in advance.
josette thomas sylvanins biller
Date: Fri, 17 May 2013 00:31:42 +0000
Subject: [MedicalBillers] Sequestration 2% cut from Commercial Payers?
I rec'd a recent EOB from an insurance company and on a few of my April
2013 claims (non-Medicare patients) they took the 2% sequestration cut.
I was under the impression that the 2% sequestration was ONLY applicable
to Medicare & Advantage Plans.
I was told by the ins co. provider rep, that since the contract we have
states that some charges (Drugs: 90715-Tdap, J3301-kenalog,
J1080-depotestosterone) are based on the Medicare rates (not RVUs) and
therefore are subject to the 2% cut, even though the patient is NOT a
I have my provider rep. checking with the contracting dept for
Is this the same thing everyone has been hearing from other payers?
Melinda Brown, CMBS
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