On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA), which amended the time period for filing Medicare fee-for-service (FFS) claims as one of many provisions aimed at curbing fraud, waste, and abuse in the Medicare program.
The time period for filing Medicare FFS claims is specified in Sections 1814(a), 1835(a)(1), and 1842(b)(3) of the Social Security Act and in the Code of Federal Regulations (CFR), 42 CFR Section 424.44. Section 6404 of the PPACA amended the timely filing requirements to reduce the maximum time period for submission of all Medicare FFS claims to ONE calendar year after the date of service.
The following rules apply:
|Date of Claim||Deadline to Submit|
|On or after Jan. 1, 2010||Within one calendar year after the date of service|
|Before Jan. 1, 2010||Dec. 31, 2010|
||Follow pre-PPACA timely filing rules*|
||Dec. 31, 2010.|
* Under pre-PPACA rules, Medicare carries can accept claims for dates of service from Oct. 1, 2008, through Sept. 30, 2009. Claims filed beyond one year of the service date will be automatically reduced by 10%.