The Patient Protection and Affordable Care Act of 2010 ("Health Reform Bill") Changes the Timely Submission Requirements for Medicare Claims


Section §6404 of the Patient Protection and Affordable Care Act of 2010, H.R. 3590 (the "Health Reform Bill") changes the longstanding rules relating to the timeliness of filing Medicare claims.

Historically, providers and suppliers relied on rules that were based upon the date of service for a claim in any given year. The

shortest maximum filing time-frames were approximately 18 months from the date of service and in some cases claims could be

filed well beyond 18 months. The health reform bill changes that.

Section §6404 changes the timeliness requirements to provide that all claims by providers and suppliers must be filed with a

Medicare contractor 12 months from the date of service. Additionally, all claims for dates of service prior to January 1, 2010 must be filed by December 31, 2010.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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