Claim filed after time limit; Timely filing period expired; Claim request not submitted within 6 months of service date. These are all different ways for the payor to say the same thing: the claim didnt make it to the claims department on time.
The best way to avoid this issue is to know the filing limitations for all of your payors. Warning: They are all different. Rule #1 – When your office staff verifies the patients benefits, make sure they find out what the claim filing deadline is. Make a notation in the patients file and most importantly, make sure that your billing department is aware of the deadline as well. The best course of action is to always file claims within 7 days of rendering treatment to your patients. However, if that is not possible, at least you will know exactly how much time you have to get your claim in.
The same attention must be given to appeal filing deadlines. Obtain the appeal deadline at the same time you verify patient benefits. That way, if you do receive a denial on a claim, the deadline information is already available. Always be armed with an awareness of filing deadlines!
Post Views: 904
