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Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.
The claim submission is defined as the process of determining the amount of reimbursement that the healthcare provider will receive after the insurance firm clears all the dues. If you submit clean claims, it means the claim spends minimum time in accounts receivable on the payers side, resulting in faster payments.
Barring some extenuating circumstances, Medicare only accepts electronic claims, so for any rehab therapy practice thats in network with Medicare, enrollment in the EDI process is a must.
Section 1848(g)(4) of the Social Security Act requires that you submit claims for all your Medicare patients for services rendered. This requirement applies to all physicians and suppliers who provide covered services to Medicare beneficiaries.
You must provide solid evidence when appealing the denial due to timely filing to get accepted. Even if claims werent submitted on time and errors were made, insurance carriers tend to require proof that they were initially submitted on time.
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Billing under another providers name and NPI without complying with Medicares strict requirements for incident to, locum tenens and reciprocal billing arrangements can spell big trouble for healthcare organizations, including fines and treble damages under the False Claims Act for claims submitted to the government

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