Industry Note:
Double-Check These Exceptions When You Miss The Timely Filing Deadline
Published on Fri Mar 30, 2012
Think you'll have to kiss some Medicare reimbursement good-bye because you missed the timely filing deadline of 12 months? You may be able to find some relief. Background: For claims with dates of service on or after Jan. 1, 2010, the Affordable Care Act imposed a new 12-month timely filing deadline, notes HHH Medicare Administrative Contractor CGS on its website. Prior to that, providers had up to 27 months to file a claim, the Centers for Medi-care & Medicaid Services says in a MLN Matters article on the topic. In January 2011, CMS announced exceptions to the one-year Medicare claim filing period, CGS notes. The exception reasons, which allow extensions of the timely filing provisions, include administrative error, retroactive disenrollment from a Medicare Advantage plan, retroactive Medicare entitlement, and retroactive Medicare entitlement involving state Medicaid agencies, CMS notes in the article. More details about the exceptions are in the MLN [...]