Posts tagged ‘fee-for-service’

August 16, 2012

Open Door Forum transcripts now available

There was a delay on the blog post regarding the recent Medicare Open Door Forums … the post didn’t publish until after the forums had happened!
No problem. Transcripts and audio are now available.

From the August 9, 2012 Medicare Fee-For-Service Recovery Auditor Prepayment Review Demonstration Special Open Door Forum.

From the August 7, 2012 Manual Medical Review of Therapy Claims Special Open Door Forum.

December 23, 2010

Fee-for-service claims for Q4 2009 are due Dec. 31

All Medicare fee-for-service claims with service dates Oct. 1, 2009, through Dec. 31, 2009, must be received by Dec. 31, 2010, or Medicare will deny them. Claims with services dates from Jan. 1, 2009, to Oct. 1, 2009, keep their original Dec. 31, 2010, deadline for filing.

Looking for more information like reporting a line item date of service and the accompanying change request?

CMS has some resources: For additional information about the new maximum period for claims submission filing dates, contact your Medicare contractor or review the MLN Matters articles listed below:

  • MM6960 – Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404 – Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months; and
  • MM7080 – Timely Claims Filing: Additional Instructions.

A podcast on this subject is available at