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Medicare law designates specific time limits for submitting claims for physician and other Part B services. The terms of the law require that a claim be filed no later than the end of the calendar year following the year in which the service was furnished, EXCEPT as follows:
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The time limit for filing claims furnished in the last 3 months of a year is the same as if the service had been furnished in the subsequent year. For example, services provided October 1, 2006, through December 31, 2006, must be filed by December 31, 2008.
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Medicare claims for which assignment was accepted must be filed within one year from the date of service, or the payment will be reduced by ten (10) percent.
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Whenever the last day for timely filing a claim timely falls on a Saturday, Sunday, Federal non-workday or legal holiday, the claim will be considered timely if it is filed on the next workday.
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For dates of service from October-December 2006 claims must be filed by 12/31/08
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For dates of service from January-September 2007 claims must be filed by 12/31/08
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For dates of service from October-December 2007 claims must be filed by 12/31/09
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For dates of service from January-September 2008 claims must be filed by 12/31/09.
Note: The same time limit applies for filing Medicare Secondary Payer (MSP) claims. Medicare strongly recommends that you file MSP claims timely, even if you do not expect Medicare to make additional payment (secondary) payment.
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