General Surgery Coding Alert - 2010 Issue 28
Physician Notes: CMS Clarifies New 'Timely Filing' Rules
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Article Overview
This article covers CMS clarification related to Medicare Part B timely filing requirements under the Patient Protection and Affordable Care Act. It is relevant to physicians, suppliers, and billing staff who submit professional claims, especially when claims involve span dates or calendar-year filing calculations. The piece focuses on the general filing-rule changes and the related CMS transmittal guidance that resolves common timing questions.
Why This Topic Matters
Billing teams need to understand the updated Medicare filing timeline to help avoid late-claim denials and related administrative disruptions. The article is useful for practices that submit professional claims and want to align internal workflows with CMS guidance.
Article Sections
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Timely Filing Rule Changes
This section summarizes the updated Medicare filing timeframe and the broad change affecting Part B claims. It also explains the general context for the timing adjustment under federal law.
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CMS Transmittal Guidance
This section discusses CMS clarification for claims with span dates and other timing questions. It also notes the related transmittal and the general areas of guidance it addresses.
What You Will Learn
- How CMS guidance affects Medicare claim filing timelines
- What types of providers are impacted by the timely filing change
- How span dates and calendar-year timing are addressed at a high level
- What CMS transmittal guidance was issued to clarify the rule change
Who Should Read This
- Physicians
- Medical billing staff
- Practice managers
- Revenue cycle professionals
- Physical therapists working in physician offices
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