CMS requires new time limits for filing claims

Written and Reviewed by Reed Tinsley | July 29, 2010

 

The Centers for Medicare & Medicaid Services (CMS) recently issued instructions requiring providers to submit Medicare fee-for-service claims within one calendar year from the date of service. This requirement reduces the amount of time providers previously had to submit claims, and claims submitted more than one year after the date of service will be denied by Medicare. The requirement impacts all claims with dates of service on or after Jan. 1, 2010. Additionally, any claims for services furnished prior to Jan. 1, 2010, must be submitted to Medicare contractors by Dec. 31, 2010. The new, timely filing requirement is mandated in Sec. 6404 of the Patient Protection and Affordable Care Act.

 

 

About the Author

Reed Tinsley CPA

This article is written by Reed Tinsley, a Houston, TX-based CPA with over 30 years of experience advising physicians and medical practices across Texas and the United States. Reed holds certifications as a Certified Valuation Analyst (CVA), Certified Healthcare Business Consultant (CHBC), and Certified Financial Planner (CFP), specializing exclusively in the healthcare sector. He is a published author, nationally recognized speaker, and trusted advisor to physicians on accounting & tax, practice management, and financial planning. Schedule a Free Consultation.

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