BC Advantage - 2010 Issue 1
Deductible - Heal Your Practice
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Article Overview
This article explains why claim submission timing matters for medical practices and discusses broad considerations around deductibles, timely filing, and aging claims. It touches on general guidance for commercial insurance, Medicare, and payer contracts, along with practice revenue recovery and follow-up processes. The piece is aimed at billing staff, practice managers, and coders who want to understand claim timing issues and accounts receivable collection workflows.
Why This Topic Matters
Knowing the relevant claim submission timeframes helps practices reduce denials, manage deductible-related payment issues, and identify aging accounts receivable before deadlines are missed. The article is relevant for teams responsible for claim filing, payer follow-up, and revenue cycle management.
Article Sections
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State Insurance Laws
Discusses state-level claim submission timeframes and the role of insurer information in determining filing deadlines. The section focuses on broad commercial and HMO coverage requirements.
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Medicare
Covers Medicare claim submission timing in relation to the service year and calendar-year deadlines. The section provides broad filing context for Medicare claims.
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Provider Insurance Contracts
Reviews how provider agreements may set claim submission time limits that differ from general payer rules. The section addresses contract-based timing considerations for commercial plans.
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Finding Revenue for Your Practice
Describes general accounts receivable recovery and aging-claims follow-up strategies for practices. The section covers broad workflow considerations for unpaid claims across different payer types.
What You Will Learn
- How claim submission timing can affect deductible-related payment handling
- How state laws, Medicare guidance, and payer contracts can influence filing deadlines
- How practices may review aging claims and unpaid balances as part of revenue recovery
- How general follow-up and resubmission workflows fit into accounts receivable management
Who Should Read This
- Medical billing staff
- Practice managers
- Revenue cycle teams
- Coders
- Healthcare administrators
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