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January 25, 2018

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Medical Coding News Archives

Timely Filing for Medicare Claims Kicks In

December 23, 2010:

Providers need to remember that the deadline for submitting claims for dates of service Oct. 1 through December 31, 2009, is right around the corner. If you have Medicare fee-for-service claims with service dates from this time period, those claims MUST be filed by Dec. 31, 2010, or Medicare will deny them.

According to provisions contained in the Patient Protection and Affordable Care Act (PPACA), effective immediately, all claims for services furnished on or after Jan 1, 2010, must be filed with your Medicare contractor no later than one calendar year (12 months) from the date of service—or they will be denied.

Generally, the start date for determining the one-year timely filing period is the date of service or “From” date on the claim. For institutional claims that include span dates of service (i.e., a “From” and “Through” date on the claim), the “Through” date is used for determining the date of service for claims filing timeliness. For claims submitted by physicians and other suppliers that include span dates of service, the line item “From” date is used for determining the date of service for claims filing timeliness.

Deborah C. Hall
Clinical/Technical Editor


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