for Part B services provided under assignment (i.e., when the patient agrees to have Medicare pay the physician directly), the reduced Medicare payment would be considered payment in full to the physician (meaning that the physician’s payment receives the 2 percent reduction), but the patient’s cost sharing amount remains unchanged. That is, the physician would continue to collect from the Medicare beneficiary the usual 20 percent co-insurance that applies despite the 2 percent cut.
Example: Dr Service with Medicare allowable of $100, the physician would continue to collect $20 from the beneficiary (20 percent of $100). But during sequestration, the physician’s payment from Medicare will be $80.00 (or 80 percent of $100) minus the 2 percent reduction, resulting in a physician payment of $78.40.
I have not seen the CAR..but I'm not sure if it's because I missed it or not.. thanks for info!!