No fee schedules, basic unit, relative values or related listings are included in CPT. You acknowledge that the AMA holds all copyright, trademark, and other rights in CPT. To expedite billing and claims processing, claims must be sent to Kaiser Permanente within 30 days of providing the service. Reproduced with permission. All Rights Reserved (or such other date of publication of CPT). 424.44 and the CMS Medicare Claims Processing Manual, CMS Pub. These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright 2002, 2004 American Dental Association (ADA). 240 - Time Limits for Filing Appeals & Good Cause for Extension of the Time Limit for Filing Appeals 240.1 - Good Cause 240.2 - Conditions and Examples That May Establish Good Cause for Late Filing by Beneficiaries . Copies of an agency (Medicare, Social Security Administration or Medicare Administrative Contractor) letter reflecting an error, A written statement of an agency (Medicare, SSA, or MAC) employee with personal knowledge of the error, CGS Claims Processing Issues Log (CPIL) showing a system error, A written report by an agency (Medicare, SSA or MAC) based on agency records, describing how its error caused failure to file within the usual time limit, Copies of a SSA letter reflecting retroactive Medicare entitlement, Dated screen prints of the Common Working File (CWF) showing no Medicare eligibility at the time the claim was originally submitted and dated screen prints of CWF showing the retroactive Medicare eligibility, Copy of a state Medicaid agency letter reflecting recoupment, Copies of an MA plan or PACE provider organization letter reflecting retroactive disenrollment, Proof of MA plan or PACE provider organization recoupment of a claim, Dated screen prints of the CWF showing MA plan or PACE provider organization eligibility at the time the claim was originally submitted. The scope of this license is determined by the AMA, the copyright holder. Electronic claims set up and payer ID information is available here. End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). The timely filing limit is the time duration from service rendered to patients and submitting claims to the insurance companies. This license will terminate upon notice to you if you violate the terms of this license. Applications are available at the AMA website. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. The AMA does not directly or indirectly practice medicine or dispense medical services. On January 21, 2011, the Centers for Medicare & Medicaid Services (CMS) announced four exceptions to the 12 month Medicare claim filing period. THE LICENSES GRANTED HEREIN ARE EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THESE AGREEMENTS. California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands. The CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Submit a new CMS 1500 or UB-04 CMS-1450 indicating the correction made. New Jersey (NJ) All providers treating fully-insured NJ contracted members and submitting their dispute using the "Health Care Provider Application to Appeal a Claims Determination Form" will be eligible for review by New Jersey's Program for Independent Claims Payment . If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). End users do not act for or on behalf of the CMS. <> The ADA does not directly or indirectly practice medicine or dispense dental services. This includes resubmitting corrected claims that were unprocessable. This system is provided for Government authorized use only. CDT is a trademark of the ADA. Navigation. Error or misrepresentation by an employee, Medicare contractor, or agent of the Department of Health and Human Services (HHS) that was performing Medicare functions and acting within the scope of its authority. . The ADA is a third-party beneficiary to this Agreement. End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). The Patient Protection and Affordable Care Act (PPACA), Section 6404, reduced the maximum period for timely submission of Medicare claims to not more than 12 months beginning with dates of service on/after January 1, 2010. IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. In addition, claims that have Returned to Provider (RTP'd) for corrections and resubmitted, are also subject to timely filing standards. Applications are available at the, Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. If you do not agree to the terms and conditions, you may not access or use the software. var pathArray = url.split( '/' ); <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 842.04] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Corrected claims can be submitted electronically as an EDI 837 transaction with the appropriate frequency code. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. Find out how to file a complaint (also called a "grievance") if you have a concern about the quality of care or other services you get from a Medicare provider. Retroactive Medicare entitlement where a State Medicaid Agency recoups money from a provider or supplier 6 months or more after the service was furnished. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". 1, 70.7, MM7396: Home Health Requests for Anticipated Payment and Timely Claims Filing, MM7270: Changes to the Time Limits for Filing Medicare Fee-For-Service Claims, MM7080: Timely Claims Filing: Additional Instructions, MM6960: Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404 - Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months, Section 6404 of the Patient Protection and Affordable Care Act, Timely Filing Frequently Asked Questions (FAQs), 26 Century Blvd Ste ST610, Nashville, TN 37214-3685. Applications are available at the AMA website. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. BY CLICKING ABOVE ON THE LINK LABELED "I Accept", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THESE AGREEMENTS. Claims that Return to Provider (RTP) for correction that are resubmitted and adjustment claims (Type of Bill XX7) are also subject to the one calendar year timely filing limitation. Timely Filing- Medicare Crossover Claims . Email | No fee schedules, basic unit, relative values or related listings are included in CDT-4. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. This Agreement will terminate upon notice if you violate its terms. % Timely Filing of Claims. Reimbursement Policies From time to time, Wellcare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS), and nationally recognized health and medical societies. The comment in Item 19 for Medicaid recoupments should state "Medicare Buy Back" and for SSA retroactive entitlements, the comment should state "SSA Error-Retroactive Entitlement. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling. If a claim isn't filed within this time limit, Medicare can't pay its share. IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. Applications are available at the AMA website. The scope of this license is determined by the ADA, the copyright holder. click here to see all U.S. Government Rights Provisions, Medicare Claims Processing Manual, (Pub. Email | U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. No fee schedules, basic unit, relative values or related listings are included in CDT. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. MediGold is a not-for-profit Medicare Advantage plan that serves seniors and other Medicare beneficiaries. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". CMS CR 7270 - Changes to the Time Limits for Filing Medicare Fee-For-Service Claims; A Medicare Advantage (MA) plan or Program of All-inclusive Care for the Elderly (PACE) provider organization recoups money from a provider or supplier 6 months or more after the service was furnished to a beneficiary who was retroactively disenrolled to or before the date of the furnished service. Frequency code 7 Replacement of Prior Claim: Corrects a previously submitted claim. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. The AMA does not directly or indirectly practice medicine or dispense medical services. Please. 7500 Security Boulevard, Baltimore, MD 21244, Authorization to Disclose Personal Health Information (PDF), Find a Medicare Supplement Insurance (Medigap) policy. Before you can enter the Noridian Medicare site, please read and accept an agreement to abide by the copyright rules regarding the information you find within this site. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen. LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes. The Medicare regulations at 42 C.F.R. The "Through" date on claims will be used to determine the timely filing date. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. When correcting or submitting late charges on 837 institutional claims, use bill type xx7, Replacement of Prior Claim. If a claim was timely filed originally, but Cigna requested additional information. 180 DAYS FROM DOD. 0 The use of the information system establishes user's consent to any and all monitoring and recording of their activities. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. See filing guidelines by health plan. Print | The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Bookmark | No fee schedules, basic unit, relative values or related listings are included in CDT-4. Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. + | Attach the. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Example: A claim has a From date of 7/1/2015 and a Through date of 7/31/2015. PO Box 22656. MSP and tertiary payer situations do not change or extend Medicare's timely filing requirements. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Providers can submit a hardcopy UB-04 adjustment or a reopening request if one of the exceptions apply. Enter the original claim number in Box 64 (Document Control Number) Corrected Professional Claims 1. Molina Healthcare of Virginia, LLC. For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Commercial: Claims must be submitted within 90 days from the date of service if no other state-mandated or contractual definition applies. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. CMS Disclaimer THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. Print | . does not extend the time frame for filing an appeal. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. Medicare patients' claims must be filed no later than the end of the calendar year following the year in which the services were provided. However, the filing limit is extended another full year if the service was provided during the last three months of the calendar year. The Medicare Advantage Policy Guidelines are applicable to UnitedHealthcare Medicare Advantage Plans offered by UnitedHealthcare and its affiliates. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Medicare will extend the timely filing limit through the last day of the sixth month following the month in which a state Medicaid agency recovered Medicaid payment from a provider or supplier Retroactive Disenrollment from a Medicare Advantage (MA) Plan or Program of All-inclusive Care of the Elderly (PACE) Provider Organization LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT"). Any questions pertaining to the license or use of the CDT should be addressed to the ADA. x[mo6nARiN.q[ XHDJ 3g(:x1go_|=>PAVa`a# vC?,y&EKGS[jpqyrea$4WZ`&yiHFYEp}|13oyp9>QS.z/R,}#+Y.e[15R#1+,E!`hD$a!K;qQX1#fSIBR_0J)XKrMqI'x 3oftQ,YXc&X=D7\Ru,"{E. Details, Applicable law requires a longer filing period, Provider agreement specifically allows for additional time, In Coordination of Benefits situations, timely filing is determined from the processing date indicated on the primary carrier's explanation of benefits (EOB) or explanation of payment (EOP). CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Note: Adjustment claims (Type of Bill ending in XX7) submitted by the provider are also subject to the one calendar year timely filing limitation. There are some exceptions to these deadlines. Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. If you're unable to file a claim right away, please make sure the claim is submitted accordingly. If Medicare is the Secondary Payer (MSP), the initial claim must be submitted to the primary payer within Cigna's timely filing period. For example, if the "From" date of service is 7.1.2021 and the "Through" date of service is 7.31.2021, the claim must be received by 7.31.2022. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE ON THE LINK LABELED "I Do Not Accept" AND EXIT FROM THIS COMPUTER SCREEN. These include: If you are not currently registered for the Cigna for Health Care Providers website, go to CignaforHCP.com and click on the Login/Register link. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. 100-04, Ch. Please click here to see all U.S. Government Rights Provisions. All rights reserved. Timely filing of claims All Rights Reserved. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. 424.44 and the CMS Medicare Claims Processing Manual, CMS Pub. Clover health timely filing limit 2020-2021. . 1, 70 specify the time limits for filing Part A and Part B fee-for- service claims. Font Size: The filing limit for claims where ConnectiCare is secondary is 180 days after the issue date of the last claim summary or EOB received from the primary carrier. At any time, and for any lawful Government purpose, the government may monitor, record, and audit your system usage and/or intercept, search and seize any communication or data transiting or stored on this system. This license will terminate upon notice to you if you violate the terms of this license. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. When a claim denies because it was received after the timely filing period, such denial does not constitute an "initial determination" and, therefore, is. Xc?fg`P? Providers may submit a corrected claim within 180 days of the Medicare paid date. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CPT is a trademark of the AMA. endobj This Agreement will terminate upon notice to you if you violate the terms of this Agreement. Mail the information to the address on the EOB or PRA from the original claim. Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Long Beach, CA 90801. 8J g[ I The CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. The ADA does not directly or indirectly practice medicine or dispense dental services. Corrected Facility Claims 1. File a claim Get information on how and when to file a claim for your Medicare bills (sometimes called "Medicare billing"). Please. The scope of this license is determined by the AMA, the copyright holder. Medicare patients' claims must be filed no later than the end of the calendar year following the year in which the services were provided. To obtain comprehensive knowledge about the UB-04 codes, the Official UB-04 Data Specification Manual is available for purchase on the American Hospital Association Online Store. Does Medicare have a timely filing limit? CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Please keep the following in mind when submitting paper Claims: - Paper Claims should be submitted on original red colored CMS 1500 Claims forms. + | CMS DISCLAIMER. Find Medicare.gov on facebook (link opens in a new tab), Follow Medicare.gov on Twitter (link opens in a new tab), Find Medicare.gov on YouTube (link opens in a new tab), A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services. if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. If you have any questions, please contact Provider Support Services at contactproviderservices@summmacare.com or call 330.996.8400 or 800.996.8401. License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. Retroactive Medicare entitlement to or before the date of the furnished service. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. %%EOF The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. hSoKaNv'[)m6[ZG v mtbx6,Z7Rc4D6Db%^/xy{~ d )AA27q1 CZqjf-U6._7z{/49(c9s/wI;JL4}kOw~C'eyo4, /k8r?ytVU kL b"o>T{-!EtZ[fj`Yd+-o3XtLc4yhM`X; hcFXCR Wi:P CWCyQ(y2ux5)F(9=s{[yx@|cEW!BFsr( The AMA is a third party beneficiary to this Agreement. %PDF-1.5 % You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. 849 0 obj <>/Filter/FlateDecode/ID[]/Index[835 75]/Info 834 0 R/Length 77/Prev 99041/Root 836 0 R/Size 910/Type/XRef/W[1 2 1]>>stream CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. 100-04, Ch. If claims are submitted after this time frame, they will most likely be denied due to timely filing and thus, not paid. The Patient Protection and Affordable Care Act (PPACA) signed into law on March 23, 2010, by President Obama included a provision which amended the time period for filing Medicare Fee-For-Service (FFS) claims. Therefore, it is important to ensure that your billing transactions are corrected from RTP (T B9997) status/location prior to the timely filing deadline.
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medicare timely filing limit for corrected claims