Part B Insider - 2017 Issue 3
Reader Question: Consider Options for 'Timely-Filing' Fix
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Article Overview
This article addresses a practice management question involving a delayed insurance-information scenario and the risk of a timely-filing denial. It discusses general response options for the surgical office, the kinds of documentation that may be relevant, and the distinction between payer appeal, patient billing, and write-off considerations. It is aimed at billing and coding staff, office managers, and other revenue cycle professionals who handle claim submission deadlines.
Why This Topic Matters
Timely-filing issues can affect whether a claim is paid, denied, billed to the patient, or written off. Understanding the available response paths and the documentation involved helps practices manage denials and protect revenue when coverage information is not available on time.
What You Will Learn
- How delayed insurance information can affect claim filing timelines
- What general response options may be available when a timely-filing deadline is near
- What kinds of documentation may support a payer appeal
- How practices may distinguish payer denial, patient responsibility, and write-off situations
Who Should Read This
- Medical billers
- Coders
- Revenue cycle staff
- Practice managers
- Surgical office administrators
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