Frequency of Billing and Same Day Billing

100 - Frequency of Billing and Same Day Billing (Rev. 3434, Issued: 12-31-15, Effective: 03-31-16, Implementation: 03-31-16) RHC and FQHC claims cannot overlap calendar years. Therefore, the statement dates, or from and through dates of the claim, must always be in the same calendar year. RHCs and FQHCs billing under the FQHC PPS may submit claims that span multiple days of service. FQHCs billing under the PPS must submit all services that are rendered on the same day on one claim. General information on basic Medicare claims processing can be found in this manual in: Chapter 1, “General Billing Requirements,” (http://www.cms.hhs.gov/manuals/downloads/clm104c01.pdf) for general claims processing information; Chapter 2, “Admission and Registration Requirements,” (http://www.cms.hhs.gov/manuals/downloads/clm104c02.pdf) for general filing requirements applicable to all providers. For Medicare institutional claims: See the Medicare Claims Processing Manual on the CMS website for general Medicare institutional claims processing requirements, such as for timely filing and payment, admission processing, and Medicare Summary Notices. Contact your MAC for basic training and orientation material if needed.