Lesson 1 Summary
- It’s a crime to defraud the federal government and its programs.
- You can’t charge patients for completing or filing a Medicare claim.
- Send your claims to the correct MAC no later than 1 CY after the date of service.
- CMS allows limited exceptions to the timely filing requirement.
- If you don’t file a claim on time, you can’t charge the patient for the services. You can only charge the patient for deductible or coinsurance amounts that would have been due if Medicare payment had been made.