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Timely Filing Case Scenario
Scenario: Dr. Smith provided medical services to Mrs. Jones, a Medicare beneficiary, on January 15, 2023. His office staff forgot to submit the claim within the regular billing cycle and discovered this oversight on March 1, 2024. The claim is now past the timely filing deadline.
Using your knowledge of Medicare timely filing requirements, answer the following questions:
Is Dr. Smith still able to file the claim for services provided to Mrs. Jones? Why or why not?
What options, if any, does Dr. Smith have to appeal the denial for untimely filing? Under what circumstances could Medicare grant an extension in this situation?
What steps should Dr. Smith's office take to prevent future occurrences of missed timely filing deadlines? Provide at least three strategies.
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