decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Deadlines for Filing Claims / You Cause the Claim Filing Delay
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Article Overview
This article covers Medicare claim filing deadlines and the limited circumstances in which a delayed filing may still be considered for payment. It is intended for physicians, suppliers, and billing staff who need a general understanding of late filing exceptions, assigned versus non-assigned claims, and the types of provider-caused delay discussed in the guidance.
Why This Topic Matters
Claim filing timeliness can affect whether a Medicare claim is paid or denied, so understanding the general framework for late-filing exceptions helps billing teams recognize when a delay may be eligible for review.
What You Will Learn
- How Medicare late claim filing exceptions are generally framed
- The difference in treatment between assigned and non-assigned claims in this context
- Broad categories of provider-caused delay that may support a filing extension
- The role of documentation and record-related issues in late filing discussions
Who Should Read This
- Physicians
- Suppliers
- Medical billing staff
- Revenue cycle teams
- Medicare claims processors
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