Here's one Re: NEW HEALTHCARE OVERHAUL
June Levey
Description
Collection
Title:
Here's one Re: NEW HEALTHCARE OVERHAUL
Creator:
June Levey
Date:
4/2/2010
Text:
I guess it was inevitable. Medicare is reducing the timely filing limit to one calendar year from the date of service beginning with DOS on or after 1-1-2010.
Previously, the limit was Dec 31st of the year following the date of service, and if the DOS was Oct through Dec, you got an extra year.
For a 4-1-2010 service, the filing deadline would have been 12-31-2011. New deadline 3-31-2011.
For a 10-1-2010 service, the filing deadline would have been 12-31-2012. New deadline 9-30-2011.
Dates from Oct 1, 2009 to Dec 31, 2009 must be filed by Dec 31, 2010.
Dates prior to Oct 1, 2009 will remain under the old rules. From now until the end of this year, we can still go back as far as Oct 1, 2008.
Of course, there may be changes or exceptions, but as it stands, the end of this year will be the deadline for all dates of service on or before 12-31-09.
June Levey
DME Claim Services Corp
7962 Oaklandon Rd Ste 111
Indianapolis, IN 46236-7502
888-569-3017 Ext. 107
<Email Address Redacted>
From: 18 existing FFS provider listservs [mailto:<Email Address Redacted>] On Behalf Of CMS CMSProviderResource
Sent: Thursday, April 01, 2010 10:05 AM
To: <Email Address Redacted>
Subject: Timely Filing Requirements for Medicare Fee-For-Service Claims
Timely Filing Requirements for Medicare Fee-For-Service Claims
On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA), which amended the time period for filing Medicare fee-for-service (FFS) claims as one of many provisions aimed at curbing fraud, waste, and abuse in the Medicare program.
The time period for filing Medicare FFS claims is specified in Sections 1814(a), 1835(a)(1), and 1842(b)(3) of the Social Security Act and in the Code of Federal Regulations (CFR), 42 CFR Section 424.44. Section 6404 of the PPACA amended the timely filing requirements to reduce the maximum time period for submission of all Medicare FFS claims to one calendar year after the date of service.
Under the new law, claims for services furnished on or after January 1, 2010, must be filed within one calendar year after the date of service. In addition, Section 6404 mandates that claims for services furnished before January 1, 2010, must be filed no later than December 31, 2010. The following rules apply to claims with dates of service prior to January 1, 2010. Claims with dates of service before October 1, 2009, must follow the pre-PPACA timely filing rules. Claims with dates of service October 1, 2009, through December 31, 2009, must be submitted by December 31, 2010.
Section 6404 of the PPACA also permits the Secretary to make certain exceptions to the one-year filing deadline. At this time, no exceptions have been established. However, proposals for exceptions will be specified in future proposed rulemaking.
Please be on the alert for more information pertaining to the Patient Protection and Affordable Care Act.
Previously, the limit was Dec 31st of the year following the date of service, and if the DOS was Oct through Dec, you got an extra year.
For a 4-1-2010 service, the filing deadline would have been 12-31-2011. New deadline 3-31-2011.
For a 10-1-2010 service, the filing deadline would have been 12-31-2012. New deadline 9-30-2011.
Dates from Oct 1, 2009 to Dec 31, 2009 must be filed by Dec 31, 2010.
Dates prior to Oct 1, 2009 will remain under the old rules. From now until the end of this year, we can still go back as far as Oct 1, 2008.
Of course, there may be changes or exceptions, but as it stands, the end of this year will be the deadline for all dates of service on or before 12-31-09.
June Levey
DME Claim Services Corp
7962 Oaklandon Rd Ste 111
Indianapolis, IN 46236-7502
888-569-3017 Ext. 107
<Email Address Redacted>
From: 18 existing FFS provider listservs [mailto:<Email Address Redacted>] On Behalf Of CMS CMSProviderResource
Sent: Thursday, April 01, 2010 10:05 AM
To: <Email Address Redacted>
Subject: Timely Filing Requirements for Medicare Fee-For-Service Claims
Timely Filing Requirements for Medicare Fee-For-Service Claims
On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA), which amended the time period for filing Medicare fee-for-service (FFS) claims as one of many provisions aimed at curbing fraud, waste, and abuse in the Medicare program.
The time period for filing Medicare FFS claims is specified in Sections 1814(a), 1835(a)(1), and 1842(b)(3) of the Social Security Act and in the Code of Federal Regulations (CFR), 42 CFR Section 424.44. Section 6404 of the PPACA amended the timely filing requirements to reduce the maximum time period for submission of all Medicare FFS claims to one calendar year after the date of service.
Under the new law, claims for services furnished on or after January 1, 2010, must be filed within one calendar year after the date of service. In addition, Section 6404 mandates that claims for services furnished before January 1, 2010, must be filed no later than December 31, 2010. The following rules apply to claims with dates of service prior to January 1, 2010. Claims with dates of service before October 1, 2009, must follow the pre-PPACA timely filing rules. Claims with dates of service October 1, 2009, through December 31, 2009, must be submitted by December 31, 2010.
Section 6404 of the PPACA also permits the Secretary to make certain exceptions to the one-year filing deadline. At this time, no exceptions have been established. However, proposals for exceptions will be specified in future proposed rulemaking.
Please be on the alert for more information pertaining to the Patient Protection and Affordable Care Act.
Citation
June Levey, “Here's one Re: NEW HEALTHCARE OVERHAUL,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/231375.
