DecisionHealth, DecisionHealth - 2011 Issue 2 (February)

How to use two exemptions to the 12-month claims filing deadline

Utilize two timely claims filing extensions when CMS corrects an error or creates a retroactive entitlement benefit for a patient. CMS has revised its 12-month timely claims filing requirement (PBN 4/15/10). Transmittal 2140 carves out exceptions and provides additional information about the rule requiring you to submit a claim within 12-months from the date of service. A claim submitted more than 12 months after the date of service will be denied.

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