decisionhealth Newsletters, Answer Books - 2009 Issue 9 (September)
Deadlines for Filing Claims / Medicare Makes the Error
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Article Overview
This article addresses Medicare claim filing deadlines and the limited administrative-error exception that can apply when a delay is attributed to Medicare-related action. It is aimed at billing staff, coders, and revenue cycle professionals who handle late claims, supporting documentation, and carrier communication. The guidance focuses on the general nature of the exception, the kind of documentation typically requested, and the timing considerations involved in resubmitting a delayed claim.
Why This Topic Matters
Late filing can create payment risk, and understanding when an administrative-error exception may apply helps practices evaluate whether a delayed Medicare claim may still be considered. The article also highlights the importance of timely follow-up and documentation in the claim appeal or resubmission process.
What You Will Learn
- How Medicare late-claim filing issues are framed in relation to administrative error
- What types of documentation are generally associated with a late claim request
- Why communication with the carrier matters when a claim is filed late
- How timing affects whether a delayed claim can still be reviewed
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Practice administrators
- Compliance staff
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