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    November 13, 2025 

    The Honorable Mehmet Oz, M.D.
    Administrator
    The Centers for Medicare & Medicaid Services
    7500 Security Boulevard
    Baltimore, MD 21244

     

    The Honorable Juliet Hodgkins
    Acting Inspector General
    Department of Health and Human Services
    330 Independence Avenue, SW
    Washington, DC 20201

     

       

     

    Re: Request for Immediate Guidance on Rebilling of Repriced Part B Claims Submitted on or after October 1, 2025

     

    Dear Administrator Oz and Acting Inspector General Hodgkins:

    On behalf of our member medical group practices, the Medical Group Management Association (MGMA) thanks you for your longstanding leadership in supporting medical groups' ability to offer high-quality care. With Congress passing legislation to extend the expiration date of 1.0 work Geographic Practice Cost Indices (GPCI) floor to Medicare claims paid from October 1, 2025, to January 30, 2026, MGMA members are in a position of considerable uncertainty, facing potential billing disruptions and compliance risk. Similar uncertainties face their Medicare patients if services already billed are later repriced pursuant to congressional action, affecting the application of Part B deductibles and co-payments.

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