Medicare Payment, Reimbursement, CPT code, ICD, Denial Guidelines
  • Home
  • Finding Medicare fee schedule – HOw to Guide
  • Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
  • LCD and procedure to diagnosis lookup – How to Guide
  • Medicare claim address, phone numbers, payor id – revised list
  • Medicare Fee for Office Visit CPT Codes – CPT Code 99213, 99214, 99203
  • Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
  • Medicare revalidation process – how often provide need to do – FAQ
  • Step by step Guide Medicare participation program
  • Medicare payment basics
Select Page

Filing Claim Where General Time Limit Has Expired

by Medical Billing | Oct 4, 2016 | Medicare payment basics

As a general rule, where the contractor receives a late filed claim submitted by a provider or supplier with no explanation attached as to the circumstances surrounding the late filing, the contractor should assume that the provider or supplier accepts responsibility...

Determining End Date of Timely Filing Period—Receipt Date

by Medical Billing | Sep 30, 2016 | Medicare payment basics

A submission, as defined above, is considered to be a filed claim for purposes of determining timely filing on the date that the submission is received by the appropriate Medicare claims processing contractor. At this point, the submission receives a permanent receipt...

Determining Start Date of Timely Filing Period — Date of Service

by Medical Billing | Sep 26, 2016 | Medicare payment basics

In general, the start date for determining the 12 month timely filing period is the date of service or “From” date on the claim. For institutional claims (Form CMS-1450, the UB-04 and now the 837 I or its paper equivalent) that include span dates of service (i.e., a...

Medicare Appeal time limit – Five level of appeal

by Medical Billing | May 1, 2016 | Medicare payment basics

When to file an appeal Once an initial claim determination is made, providers, participating physicians, and other suppliers have the right to appeal. Physicians and other suppliers who do not take assignment on claims have limited appeal rights. Medicare offers five...

Retroactive Medicare Entitlement – Medicare timely filing denial

by Medical Billing | Nov 7, 2014 | Medicare payment basics

The time for filing a claim will be extended if CMS or one of its contractors determines that a failure to meet the filing deadline is caused by all of the following conditions: (a) At the time the service was furnished the beneficiary was not entitled to Medicare....
« Older Entries

Get Medicare billing update instantly

Medicare reimbursement articles

  • BCBS prefix – Why its important to read correctly.
  • MCO – MIS and reporting system
  • How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO
  • What is Patient driven Grouping model – how its working
  • Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) – Full coverage
  • Understanding Medicare cost Reports and usage
  • CPT code 90649, 90650, 90651
  • Patient has WC and Medicare insurance? which insurance is primary.
  • CPT 91311, 0111A, 0112A – Covid Vaccine for children
  • 5 Important points to improve claim submission success rate

Medicare Guidelines visitors

AMA

CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved to AMA.
The revenue codes and UB-04 codes are the IP of the American Hospital Association. All Rights Reserved to AMA.
All our content are education purpose only. All the articles are getting from various resources. If you find anything not as per policy. Please reach out and we would do the investigation and remove the article.
  • Medicare payment basics
  • Facebook
  • Twitter
  • Google
  • Instagram
  • RSS

Designed by Elegant Themes | Powered by WordPress