Medicare claims must be filed to the MAC no later than 12 months, or 1 calendar year, from the date the services were furnished. This includes resubmitting corrected claims that were unprocessable.
Example: Patient seen on 07/20/2020, file claim by 07/20/2021.
To determine the 12-month timely filing period/claims filing deadline, we use the “From” date on the claim.
We realize there are times when you do not get the correct insurance information from the patient.
Best practice: Obtain all medical insurance cards from the patient. Not knowing a patient had Medicare or not knowing that Medicare should have been primary is not grounds to waive timely filing. Ask the patient if they are entitled to Medicare and if Medicare is primary or secondary.
If the patient says Medicare is secondary, submit the claim to the primary insurer first. Once you receive the primary insurer remittance, submit the claim to Medicare as secondary, even if you do not expect Medicare to make a payment. If you initially submit a claim to Medicare as secondary and the primary insurer notifies you of an error and recoups their payment, you can adjust the Medicare secondary payer (MSP)claim.
Filing a claim after you find out Medicare is primary is not a valid reason to waive timely filing/filing deadline.
MSP and Tertiary Payer situations do not change or extend Medicare’s timely filing requirements.
There are no appeal rights for untimely claim denials. For exceptions, see the Exceptions to timely filing section below.
For inpatient hospital or inpatient skilled nursing facility claims that report span dates of service, the “Through” date on the claim is used to determine timely filing.
Claims received after 12 months from the date of service will be rejected or returned with reason code 39011; the claim in question was not filed in a timely manner.
If there are no “Remarks” to indicate why the claim is late, we will assume you accept responsibility for the late claim. In this instance, you may only charge the patient for deductible or coinsurance amounts that would have been applied if Medicare payment had been made. Claims should be submitted and processed to record spell-of-illness for inpatient hospital, skilled nursing facility stays, or to record the days, visits, cash, and blood deductibles. The beneficiary is charged utilization days if applicable for the type of services received.
Note: Adjustment claims (Type of Bill (TOB) ending in XX7) submitted by the provider are also subject to the one calendar year timely filing limitation. Additionally, claims that have returned to provider (RTP'd) for corrections and resubmitted, are also subject to timely filing standards.
Part A providers may request to reopen a claim when:
Requesting a clerical reopening to correct minor errors or omissions, but the date of service is beyond the timely filing provision.
The claim rejected with reason code 39011 because the through date of service is past the 12-month timely filing provision
Providers must use the new reopening process, TOB XXQ, when a correction is to be made beyond the timely filing limit (one year from the through date of the service). For these guidelines, refer to the article Automation of the request for reopening claim process.
Professional claims submitted by physicians and other suppliers that include span dates of service, the line item “From” date is used to determine the date of service and filing timeliness.
If a line item “From” date is not timely, but the “To” date is timely, we will split the line item and deny untimely services as not timely filed.
Claims received after 12 months from the date of service will deny remittance advice reason code N211 (claim was billed to Medicare more than 12 months after the date of service and there was no documentation that supports there was an exception to timely filing). The patient will then be liable for the entire billed amount up to the limiting charge for non- assigned claims.
Note: A statement can be reported in item 19 of the CMS (02-12) claim form or EDI equivalent on the reason the claim was filed late in the initial claim submission.
If there is no statement reported or documentation attached to the claim indicating why the claim is late, we will assume you accept responsibility for the late claim. In this instance, you may only charge the patient for deductible or coinsurance amounts that would have been applied if Medicare payment had been made.
The CMS allows four exceptions to timely filing. Let’s discuss each of the four exceptions.
Administrative error. This occurs when an error or misrepresentation is provided by an employee, the Medicare contractor, or agent of the department. In these cases, timely filing will be extended six months following the month in which you or the beneficiary received notice that an error or misrepresentation was corrected.
An error or misrepresentation may be advice that certain services were not covered under Part A or Part B, when, in fact, they were covered; excessive delay by Medicare providing information necessary for filing a claim; advice by an employee, Medicare contractor, or agent of the department that delayed the filing of a claim until you received certain information from the contractor; any claim where it appears that an extension of the time limit might be justified based on administrative error.
If you believe an administrative error led to the untimely filing of a claim, please provide a statement from the beneficiary, their representative or yourself as to how the error was known, when it was corrected, and a written report by Medicare or the Medicare contractor describing how its error caused failure to file within the time limit; or copies of a CMS or Medicare contractor letter or other written notice reflecting the error. There must be a clear and direct relationship between the administrative error and the late filing of the claim.
Retroactive Medicare entitlement. This occurs when services are rendered to an individual not entitled to Medicare and later the individual is notified by the Social Security Administration that he or she is entitled to Medicare benefits retroactive to a date on or before your date of service. In this situation, you may request a filing extension as long as you submit supporting documentation that verifies retroactive Medicare entitlement. The supporting documentation should include the letter from the Social Security Administration notifying the beneficiary of Medicare entitlement and the effective date of the entitlement, a description of the service or services rendered and the date of the service.
When this exception is met, timely filing will be extended six months following the month in which you or the patient received notification of retroactive Medicare entitlement.
Retroactive Medicare entitlement involving State Medicaid agencies. This occurs when, at the time services were rendered, the patient was entitled to Medicaid, not Medicare and later is notified that he or she is entitled to Medicare. If the State Medicaid agency recoups the money it paid you six months or more after the date of service, you may be given an extension to file claims to Medicare.
To qualify for this exception, you must provide documentation verifying the date the State Medicaid agency recouped money from you; that the beneficiary was retroactively entitled to Medicare on or before the date of service; and the service or services rendered and the date of the service.
When this exception is met, timely filing will be extended six months from the month in which the State Medicaid agency recouped its money.
Retroactive disenrollment from a Medicare Advantage plan or Program of All-inclusive Care for the Elderly (PACE) provider organization. This is when a patient, enrolled in a -Medicare Advantage plan or PACE provider organization, later becomes disenrolled and the Medicare Advantage plan or PACE recoups their payment. If the Medicare Advantage plan or PACE recoups their money six months or more after the date of service, you may be granted an exception to file claims to Medicare.
To qualify for this exception, you must provide documentation that verifies prior enrollment in a Medicare Advantage plan or PACE; you were notified that the beneficiary is no longer enrolled in the Medicare Advantage plan or PACE; the effective date of the disenrollment; and the Medicare Advantage plan or PACE recouped money from you for services rendered to the patient.
When this exception is met, timely filing will be extended six months from the month in which the Medicare Advantage plan or PACE recouped its money.