With the Medicare deadline cut from three years to one, using a chart can help. As the impact of healthcare reform continues to define how medical practices work, one result is a decrease in the amount of time you'll have to file claims. Section 6404 of the Patient Protection and Affordable Care Act reduces the maximum time for submission of all Medicare FFS claims from three years to one calendar year after the date of service. So if you're unprepared to process claims quickly, you'll be doing a lot of write-offs. That is, of course, unless you follow these expert-approved tips. 1. Keep a Chart and Stick to It Timely filing means that your practice submits a Medicare fee-for-service (FFS) claim within the timeframe determined by the carrier. Under the new law, claims for services furnished on or after Jan. 1, 2010 must be filed within one calendar year after the date of service. The previous timeframe was three years. The result: Tracking claims with short filing times is key to staying on top of filing deadlines, stresses Quinten Buechner, MS, MDiv, CPC, BMSC:ACS-FP/GI/PEDS, ACMCS:PCS, PHIA: CCP, PAHCS:CMSCS, president of ProActive Consultants, of Cumberland, Wis. Best practice: 2. Make Sure You Keep Proof On Hand One good rule of thumb is to always keep proof of the electronic filing, says Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC, president of CRN Healthcare Solutions, a coding and reimbursement consulting firm in Tinton Falls, N.J., and senior coder and auditor for The Coding Network. Option 1: You can use a claims clearinghouse that stores your confirmation of receipt by your payers so that you can access them on demand when you need to appeal timely filing denials. If your clearinghouse does not provide this service, consider changing to one that does, Buechner advises. Option 2: Keep in mind: 3. You Have Options if the Patient Held Up the Claim If your practice had the claim ready to send, but the patient did not provide his insurance information in time, you may have a few options. You can 1. Appeal 2. Write off the claim 3. Follow-up with the patient for the money. The only time you can submit a bill to the patient after the timely filing deadline and successfully seek payment is if the patient did not provide you with the proper information before the filing deadline. The payment then becomes the patient's responsibility, and you should bill the patient rather than write off the claim amount. Here's how: If you use an electronic system, you can easily keep track of when patients call in and make changes to their insurance as well as when you get copies of new insurance cards. This documentation will help you prove when the patient gave you her insurance information. Good news: Exceptional circumstances: