Currently, PPM is holding Medicare claims for clients unless specifically told by the client to release these claims. There are risks with both options. If CMS holds the claims and the Senate reconvenes but is not able to finalize a ruling by April 13th, claims could be released with the SGR 21% reduction only to be retracted later and create claims processing issues and delays in receiving the 21% later. If the Senate does come through, but PPM has held claims, there is an additional two week cash flow delay. Please review your options and provide PPM with the option you would like to follow.