As indicated in ODP Announcement 24-084: Publication of Final Rates Effective Starting Fiscal Year 2024- 2025 and Operational Guidance, page 8 noted, “In November, ODP will process a gross adjustment for any fee schedule services billed during the 1st quarter of the fiscal year. This gross adjustment will compensate providers for the rate differential effective July 1, 2024.”
This is a reminder to all providers to bill for any services rendered from July 1, 2024 through September 30, 2024. ODP will be compensating providers, via gross adjustments, for the difference between the rate billed and the updated fee schedule rate for dates of service rendered during the period July 1, 2024 through September 30, 2024. ODP anticipates processing gross adjustments at the end of November 2024 to ensure all billing for dates of service July 1, 2024 through September 30, 2024 has been completed. Paid claims data in Remittance Advices between July 1, 2024 and November 4, 2024 will be used as the basis for the gross adjustment.