Reminder: Important Information on the Timely Claims Filing Requirement

The Centers for Medicare & Medicaid Services has issued a reminder to Medicare Fee-For-Service physicians, providers, and suppliers submitting claims to Medicare for payment that, as a result of the Patient Protection and Affordable Care Act (PPACA), effective immediately, all claims for services furnished on or after Jan 1, 2010, MUST be filed with your Medicare contractor no later than one calendar year (12 months) from the date of service – or Medicare will deny those claims.

If you have Medicare Fee-For-Service claims with service dates from Thu Oct 1, 2009, through Thu Dec 31, 2009, those claims MUST be filed by Fri Dec 31, 2010, or Medicare will deny those claims. Claims with service dates from Thu Jan 1, 2009, to Thu Oct 1, 2009, keep their original Fri Dec 31, 2010 deadline for filing.

For claims for services that require reporting a line item date of service, the line item date will be used to determine the date of service. For other claims, the claim statement’s “From” date is used to determine the date of service.

For additional information about the new maximum period for claims submission filing dates, contact your Medicare contractor or review the following MLN Matters articles related to this subject: