3/25/2022
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Posted by Provider Relations
The Centers for Medicare & Medicaid Services (CMS) recently provided guidance that its policy of sequestration will be re-instated in 2022. Fidelis Care will be aligning with this guidance and as a result, we will be making a change to the Medicare Remittance Advice (RA). Beginning April 1, 2022, you will notice an additional column labeled Sequestration Reduction. This field will reflect the sequestration amounts that are deducted after determining coinsurance, applicable deductibles and any Medicare secondary payment adjustments for all professional and facility Medicare claims.
If you have questions regarding your RA, please contact our Provider Call Center at 1-888-FIDELIS (1-888-343-3547) or your local Provider Relations Specialist.