Outpatient Facility Coding Alert - 2019 Issue 5
Practice Management: Make Late Filings a Thing of the Past With These Timely Hints
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Article Overview
This article explains practical practice-management approaches for reducing late claims and responding to timely filing denials. It covers Medicare fee-for-service timely filing concepts, insurer deadline tracking, proof of electronic submission, appeal documentation, patient-related delays, and how practices may handle exceptional circumstances that affect filing deadlines. The piece is intended for billing staff, practice managers, and revenue cycle teams who work claims and appeals across multiple payers.
Why This Topic Matters
Late filings can lead to avoidable denials and lost reimbursement. Understanding payer deadlines, retaining submission proof, and documenting unusual delays helps practices protect cash flow and support appeals.
Article Sections
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Keep a Chart and Stick to It
Discusses organizing payer timely filing deadlines and tracking them across different insurers. Emphasizes keeping claims work prioritized when multiple filing limits apply.
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Make Sure You Keep Proof on Hand
Covers keeping confirmation records for electronic claim submission and retaining documentation that can support an appeal. Describes general recordkeeping approaches used to verify filing status.
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You Have Options if the Patient Held Up the Claim
Addresses claims delayed by missing patient insurance information and the types of follow-up documentation that may be needed. Also notes that exceptional events affecting filing timelines may require payer contact.
What You Will Learn
- How practices can organize payer filing deadlines
- Why proof of electronic submission matters for appeals
- What types of documentation may support a timely filing dispute
- How patient-related delays can affect claim handling
- What general steps practices may consider during extraordinary disruptions
Who Should Read This
- Practice managers
- Medical billers
- Revenue cycle staff
- Front-office staff
- Coding and claims personnel
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