Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
tci General Surgery Coding Alert - 2018 Issue 4
Reader Question: File Claims on Time
Question: We had a problem with a claim and didn't get it filed with Medicare until over a year after the procedure date. Will this get paid?
SuperCoder Subscriber
Answer: No. Medicare gives you only 12 months to file a claim, and exceeding this limit will cause instant denials.
The time period for filing Medicare fee-for-service claims was amended as part of the Patient Protection and Affordable Care Act. Under this law, the claims for services furnished on or after Jan. 1, 2010, must be filed within one calendar year after the date of service.
Medicare requires all providers...
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