Wiki Timely filing for Medicare Advantage

[andrewbetterton]

Has CMS or any other part of the Federal Government published rules for Medicare Advantage plans regarding timely submission of claims, corrected claims, or appeals? With respect to non-contracted providers, are Medicare Advantage plans obliged to follow the same timely filing limits as regular Medicare Part B? I looked through both the CFR section on Medicare Advantage and the CMS Manual chapter on MA plans and didn't find anything.

 

[drakena74]

Has CMS or any other part of the Federal Government published rules for Medicare Advantage plans regarding timely submission of claims, corrected claims, or appeals? With respect to non-contracted providers, are Medicare Advantage plans obliged to follow the same timely filing limits as regular Medicare Part B? I looked through both the CFR section on Medicare Advantage and the CMS Manual chapter on MA plans and didn't find anything.

I would contact the carrier and find out if timely filing follows Medicare guidelines or the carriers guidelines.