What Is Meant By Timely Filing?
MB-Guide (2014, 2010) notes that, besides various responsibilities that make a good biller, is to keep track of the timely manner in which their claims are being sent to insurance companies. That is, it notices that, he has to make sure that all claims are sent within a specified time frame, which further is referred to as timely filing, which is set differently by each different insurance company one sends their claims. For instance, MB-Guide reports that, an insurance company in question may set its timely filing to 90 days, and therefore that, one has to make sure that they send all of their claims to it within 90 days of the date of service.
However, MB-Guide points out that, the consequences due to bleach …show more content…
Although it continues to say that, the above ensures that all claims are sent as soon as possible, making it easier for doctors to receive their money and for insurance companies to process claims in a timely manner, keeping it in mind that the following varies from insurance company to insurance company.
However, MB-Guide observes that, the medical biller has to make sure that claims are paid, and that, one of the easiest and most efficient ways to make sure this happens is by making sure that all claims go out and are paid in a timely manner.
American Chiropractic Association [ACA] (2014) states that, the Patient Protection and Affordable Care Act amended the time period for filing Medicare fee-for-service claims. That is; claims for services furnished on or after the period of January 1, 2010, must be filed within one calendar year after the date of service, as well as claims with dates of service of October 1, 2009 through December 31, 2009, must be submitted by December 31, 2010 and finally, claims with dates of service before October 1, 2009 must be submitted by December 31, …show more content…
CMS notes also that, an administrative error may include misrepresentation, delay, mistake, or other action of Medicare, or its FIs or carriers or SSA, and FIs will not submit for approval requests for extensions for such errors that extend beyond December 31 of the third calendar year after the year in which the services were furnished. For instance, it continues to argue that, services furnished during October to December of a year, the time limit may be extended no later than the end of the fourth year after that year.
WPS Health Insurance Medicare (2014) points out that for one to be eligible for Medicare reimbursement, providers must file claims within a qualifying time limit. It further reports that on the March of 23, 2010, President Obama signed into law the Affordable Care Act (ACA), which amended the time for filing Medicare fee-for-service (FFS) claims, and that under the new law, providers are supposed to file claims for services furnished on or after January 1, 2010, within one calendar year of the date of service. Also WPS points out that, the provider may collect 20% of what would have been the Medicare fee schedule allowed amount, when the