decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Answer_Book / Deadlines_for_Filing_Claims / You_cause_the_claim_filing_delay
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Article Overview
This short guidance article discusses Medicare claim-filing deadlines and when a late submission may still qualify for a limited extension. It is aimed at physicians, suppliers, and billing staff who need a high-level understanding of late filing circumstances, assigned versus non-assigned claim handling, and the general reasons a carrier may consider when reviewing a delay.
Why This Topic Matters
Missing filing deadlines can affect claim payment and promptness penalties, so understanding the broad circumstances that may support a late filing extension helps providers evaluate whether a delayed claim may still be considered.
What You Will Learn
- How late Medicare claim submissions are generally treated
- What broad types of circumstances may be considered when a filing delay is caused by the provider side
- How assigned and non-assigned claims are discussed in relation to late filing
- What kinds of provider-record or documentation issues are mentioned in connection with late filing relief
Who Should Read This
- Physicians
- Suppliers
- Medical billing staff
- Claims processors
- Revenue cycle professionals
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