Reason Code 39011
Reason Code Narrative
CLAIMS WITH DOS ON/AFTER 10/01/09 THRU 12/31/09 RECEIVED AFTER 12/31/10 WILL BE DENIED AS BEING PAST THE TIMELY FILING STATUS AND CLAIM WITH DOS ON/AFTER 01/01/10 RECEIVED MORE THAN 1 YEAR BEYOND THE WILL BE DENIED AS BEING PAST THE TIMELY FILING STATUS (EX: CLAIM DOS = 03/15/10 MUST BE RECEIVED BY COB 03/15/11).
EFFECTIVE 01/01/10, INSTITUTIONAL CLAIMS (ANY CLAIM SUBMITTED VIA 837I OR UB-04 FORM) WITH A RECEIPT DATE MORE THAN 1 YEAR BEYOND THE CLAIM'S THROUGH (TO) DATE WILL BEDENIED AS BEING PAST THE TIMELY FILING DEADLINE.
Common Reason Code Errors
- A claim is filed to Medicare and received into FISS after timely filing limit allowed
Note: Timely filing is one year from through date of claim for an inpatient claim or one year from date of service for an outpatient claim.
Common Reason Code Corrections
- Claims filed passed timely filing limitation must include detailed remarks to show an exception for timely filing has been met
- If billing for a timely filing rejection, add comments "reject for timely filing" and re-submit claim
- CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 1, Section 70 - 70.7.4
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Last Updated May 22, 2018