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Timely filing requirements change for Medicare fee-for-service claims
e-Reports, April 19, 2010
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On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act(PPACA) that amended the time period for filing Medicare fee-for-service (FFS) claims. One of its provisions aimed at curbing fraud, waste and abuse amended the timely filing requirements, reducing the maximum time for submission of all Medicare FFS claims.

Under the new law, claims for services furnished on or after Jan.1, 2010, must be filed within one calendar year after the date of service. PPACA also mandates that claims for services furnished before Jan. 1, 2010, must be filed no later than Dec. 31, 2010.

The following rules apply to claims with dates of service prior to Jan.1, 2010.

The new law also permits certain exceptions to the one-year filing deadline. No exceptions have been established yet; however, exceptions will be specified in future proposed rulemaking.

Dates of Service   Claim rules
Before Oct. 1, 2009   Follow pre-PPACA timely filing rules
Oct. 1 through Dec. 31, 2009   Submit by Dec. 31, 2010
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