Long-Term Care

Healthcare reform means big changes for timely filing requirements

Contemporary Long-Term Care Weekly, April 8, 2010

Under the Patient Protection and Affordable Care Act, which President Obama signed into law March 23, the time period for filing Medicare fee-for-service (FFS) claims has been drastically reduced. Previously, the maximum period for submission was three calendar years, as specified in the Social Security Act.

But now, as stated in Sec. 6404 of the Patient Protection and Affordable Care Act, the maximum time period for submission of all Medicare FFS claims is one calendar year after the date of service, beginning with any claims for services provided on or after January 1, 2010. According to the new law, claims with dates of service from the months of October, November, and December of 2009 must be submitted by December 31, 2010. Claims with dates of service prior to October 1, 2009 are held to the pre-amendment timely filing requirements.

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