Express Billing, Inc.

Good morning, sharing an update on Medicare claims.���BREAKING: CMS has announced that it has directed its MACs to lift the hold on Medicare ambulance claims. ��This means that claims with dates of service on or after 10/1/25 should be processed and paid (where covered) by Medicare.��However, our team is receiving multiple reports of claims being paid WITH the temporary add-on bonuses (2% urban, 3% rural and 22.6% super rural). Because the extenders expired on September 30th, CMS has no statutory authority to pay ambulance claims with the bonus amounts.��Until these issues come into sharper focus, we continue to recommend that ambulance services HOLD their Medicare claims until Congress acts on the ambulance extenders. ��We will continue to follow the developments and will update you as timely as we can. ��Info posted by PWW Advisory Group

We’re sharing a quick update on today’s federal government shutdown and how it may affect Medicare ambulance payments.

What happened (today, Oct 1, 2025):
• Medicare operations continue; claims should still process and pay on normal timelines.
• The temporary ambulance payment add-ons (+2% urban, +3% rural, +22.6% super-rural) expired Sept 30, 2025 and require Congressional action to be extended.
How this could impact payments:
• If Congress passes a funding bill within 2 weeks and includes an extension, MACs should have time to adjust during the standard 14-day payment hold with no change expected on paid amounts.
• If a deal comes after 2 weeks, Medicare may pay claims for DOS on/after Oct 1 without the add-ons until an extension is enacted; if Congress later makes add-ons retroactive, MACs would reprocess to add them back.
• Some enrollment/revalidation and audit activities could slow if the shutdown persists.
• Separately, telehealth flexibilities and Hospital-at-Home waivers also expired and need renewal by Congress.
What you should do now:
1. Continue normal claim submissions, no coding/claim changes needed today.
2. Watch remittance advice for DOS Oct 1, 2025 and forward for potential removal of add-ons.
3. Flag those claims in case of retroactive extension and automatic MAC reprocessing.
4. Reach out if you see unexpected payment changes, we’ll review and advise next steps.
We’ll keep monitoring Congressional action and will update you if anything changes. If you have questions about specific claims, reply to this email and our team will assist.

BREAKING: Government Shutdown & Ambulance Add-Ons: What You Need to Know | PWW Advisory Group

BREAKING: Government Shutdown & Ambulance Add-Ons: What You Need to Know | PWW Advisory Group October 1, 2025 What Happened? Congress failed to pass a funding package by midnight last night. That means a federal government “shutdown” begins TODAY, October 1, 2025, and lasts until Congress passes another funding package for the federal government. Right now, we are uncertain as to how lon...

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Express Billing Inc for All Your Ambulance Billing Needs NEW CLIENTS: One Month Billing FREE...Ask for details!   AMBULANCE BILLING, STATE AND CITY PACKETS, MEDICARE AND MEDICAID PACKETS, COMPLIANCE AND MORE At Express Billing Services, Inc, we offer a wide

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Express Billing Inc. Celebrate Dr. Martin Luther King, Jr. We will Be Closed on MLK Jr. Holiday, Monday, January 15th         Express Billing Inc. will be closed in honor of the MLK Jr. Holiday, Monday, January 15th. Reminder, Medicare and Medicaid will be cl