Corporate Compliance

Note: Timely filing and adjustment of hospital claims

Medicare Weekly Update, January 31, 2012

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Editor’s note: Judith Kares, JD, CPC, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.

During a recent Medicare Boot Camp – Hospital Version class, a participants raised several questions about timely filing requirements for hospitals, including requirements for filing adjustment claims. Unfortunately, this is a complex area under Medicare law. Medicare goes into considerable detail on this issue in the Medicare Claims Processing Manual, Chapter 1, beginning with discussion a on timely filing of claims in Section 70 et. seq., and then on adjustment of claims in Section 130 et. seq.

Continue reading Judith's note at the MedicareMentor Blog



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