Example: a hospital sends a claim to the payer within the timely filing period (TOB 111). They are paid. A few months later, the hospital engages an auditor who finds evidence of underbilling and submits those charges to the payer (TOB 115). The audited charges are filed beyond the timely filing deadline.
Can the late charges be (legally)denied by the payer as not timely filed?
Can the auditor claim that since the original claim was received within the timely period, the late charges must also be considered?
JB.
Can the late charges be (legally)denied by the payer as not timely filed?
Can the auditor claim that since the original claim was received within the timely period, the late charges must also be considered?
JB.
