It appears that some Medicare contractors are having more difficulty than others adjusting their computer systems to reflect the SGR "fix" and related issues.   

If your like most physicians, falling under the 'bell curve' of E&M coding for 99203 and 99213, how will you be effected by the drastic cuts set for December 1, 2010, approximately 23% less than what you are being paid now, and another 5% to 6% drop on January 1, 2011?

The Centers for Medicare & Medicaid Services (CMS) has now published a Final Rule that clearly defines the capabilities that EHR systems must support, the actions EHR users must perform and the measures that will be us

On June 25, 2010, President Obama signed into law the “Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010.”  This law establishes a 2.2 percent update to the Medicare Physician Fee Schedule (MPFS) payment rates retroactive from June 1 through November 30, 2010.

Here is a summary of the proposal passed by the Senate:
 
Medicare Physician Payment:  Provides a 2.2% increase in reimbursement levels for June-November of 2010.  Spends $6.4 billion over five and ten years.
 

Here's the SGR situation as of Thursday afternoon (6/17):
 

Senate Democrats continue to hunt Thursday for the 60 votes they need to pass a slimmed-down legislative package containing a six-month physician pay patch and an extension of higher federal Medicaid funding.

The CMS has instructed its contractors to hold physician payment claims through June 17, keeping at bay a 21.2% pay cut that could soon be averted by congressional action.

The Congress has failed to adopt another extension of the freeze of the Medicare physician fee schedule Conversion Factor.  This means that effective for services provided on or after June 1, there will be a 21.3% cut in the Medicare fee schedule payments.