What exactly does this mean?

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Presentation transcript:

What exactly does this mean? Timely Filing What exactly does this mean? 2/17/2019

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. 2/17/2019

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 2/17/2019

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. 2/17/2019

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 2/17/2019