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Claims Must Be Filed Within One Year of Service Date

Coding Corner

The information provided here applies to Medicare coding. Be sure to check with your Medicare Administrative Contractor (MAC) for additional information and clarification on these and other items. You should also contact your local insurance carriers to determine if private insurers follow Medicare's lead on all coding matters.

Claims Must Be Filed Within One Year of Service Date
The Centers for Medicare and Medicaid Services (CMS) has announced that providers who submit claims to Medicare contractors should be aware that as a result of the “Patient Protection and Affordable Care Act” (PPACA)(Pub.L. 111-148) claims with dates of service on or after January 1, 2010 received later than one calendar year beyond the date of service will be denied by Medicare. Additional information is available through CMS at www.cms.gov/MLNMattersArticles/downloads/MM6960.pdf.