tci Medicare Compliance & Reimbursement - 2012 Issue 11

Reader Question: Review State Laws for Billing Time Frame

Question: Is there a time limit on when you can bill a patient for their balance due after the insurance company processes the claim? For example, if the patient still owes a balance (according to insurance's allowed charges) after two or three years, are we able to still bill the patient?Answer:There is no national regulation that limits when you can bill a patient. You should check your state's laws, however, to ensure there is nothing specific to your area that places a time limit on when you can bill a patient. You should also check your payer contracts...

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