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Late filing penalty

Medicare applies 10% penalty on claims that were filed past the timley filing limit.Is it 10% of the approved charge or 10% of the payment made by Medicare?ExampleBilled $150Allowed $100Medicare pays...

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Re: Late filing penalty

It's been so long since I had one, I don't remember. It will tell you on the EOB. The ones we have is when the patient says offhand... "I wish you guys took Medicare."Uhhh yeah we do, never told you...

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Re: Late filing penalty

Penalty $10 (10% from the total allowed ) or Penalty $8 (10% from what it pays) from the above mentioned example? This is what kinda realllly confusing me...

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Re: Late filing penalty

I haven't done one in a long time either, but you could figure it out when the payment comes in. If they take away $10, then they came up with the figure from the allowed amount. If they take away $8,...

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Re: Late filing penalty

I did a search, and every statement I found said the MEDICARE PAYMENT would be reduced by 10%.Sharon

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Re: Late filing penalty

I just did some ambulance billing for a client who had a bunch that was over a year old. The 10% was skimmed from the 80% the paid. The coinsurance was not reduced.Example:$100.00 allowable$80.00...

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Re: Late filing penalty

Thankz everyone

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