Medicare Managed Care Manual (Pub. 100-16), Ch. 16a § 120

Timely Filing Requirement

Last amended: 2011Year: 2011Length: 83 wordsOfficial source
120 – Timely Filing Requirement (Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11) For services furnished on or after January 1, 2010, deemed and non-contracting providers furnishing services to PFFS plan members must submit a claim to the plan for an Original Medicare-covered service within the same time frame the provider would have to submit under Original Medicare, which is within 1 calendar year after the date of service The rules for submitting timely claims under Original Medicare can be found at https://www.cms.gov/MLNMattersArticles/downloads/MM6960.pdf.
Medicare Managed Care Manual (Pub. 100-16), Ch. 16a § 120: Timely Filing Requirement | Justis AI