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Timely Filing - PowerPoint PPT Presentation


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Timely Filing. What exactly does this mean?. Timely Filing. Each payor has their own individual timely filing deadline. This means that within a certain time span from the date of service , a claim must be filed in order to receive payment. Timely Filing.

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timely filing

Timely Filing

What exactly does this mean?

timely filing2
Timely Filing
  • Each payor has their own individual timely filing deadline.
    • This means that within a certain time span from the date of service, a claim must be filed in order to receive payment.
timely filing3
Timely Filing
  • What do the time spans look like? Time spans vary based upon each payor. The following are examples from 2007 and are subject to change during renegotiation.
    • TennCare payors - 120 days from date of service
    • BCBST – 180 days from date of service
    • Cigna - 180 days from date of service
    • Medicare 1 year + 3mos from date of service
    • Health Spring PPO 90 days from date of service
    • United – 180 days from date of service
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Timely Filing
  • What does this mean to me?
    • Please review the monthly D&H billing as soon as possible because we must meet the timely filing deadlines to the individual payors in order to reroute charges.
    • Please route patient billing questions to the Department of Finance, Clinical Trials Billing Compliance as soon as you are aware of them.
resources
Resources
  • Patient Accounting-technical billing
    • Nancy Stanley 936-0894
  • VMG Professional Billing
    • Lee Ann Buck 936-0515
    • Dept. Of Finance-Clinical Trials Billing Compliance
    • DOF-main number 322-2381