Medicare 14 Day Payment Floor

How long is the payment floor waiting period.

Medicare 14 day payment floor.

Treasury s secure pay gov site to complete your payment. Under the existing legislated payment floor electronic media claims emc may be paid no earlier than the 14thday after the date of receipt 13 day waiting period. As these claims may be subject to post payment review. Type of claim payment floor date.

February 27 2004 change request 2981. The payment floor. The waiting periods are 13 days for electronic claims and 28 days for paper claims. A ceiling is the maximum time allowed for processing a clean claim before medicare owes interest to a supplier of services.

The difference in payment floors is further incentive for you to consider use of electronic claims submission to improve your cash flow record keeping and claim status tracking ability. Hipaa compliant paper claims are not paid until 29 days after the claim reaches us. 100 04 medicare claims processing centers for medicare medicaid services cms transmittal 114 date. Hipaa compliant electronic claims 14 calendar days from claim receipt date.

There are different waiting periods for electronic claims and paper claims. Macs must temporarily suspend and manually process benefit per iod waiver claims but are instructed to make every effort to ensure timely payment before the end of the 14 day payment floor. Select pay my premium choose your payment method like credit debit card or checking or savings account and enter the amount you want to pay. Providers should allow sufficient time before inquiring about these claims.

Log in to your secure medicare account or create a medicare account if you don t have one yet. However the payment may not be issued until day 14 electronic or 29 paper. The payment floor date is the earliest day after receipt of the clean claim that payment may be made based on how you file claims wps medicare will issue your remittance notice and check s if appropriate according to the payment floor. Based on the waiting periods the payment floor dates are as follows.

How long is the payment floor waiting period. The waiting periods are 13 days for electronic claims and 28 days for paper claims. However the payment may not be issued until day 14 electronic or 29 paper. However clean claims filed electronically can be paid as early as 14 days after receipt i e a 13 day payment floor.

Suppliers who file paper claims will not be paid before the 29 th day after the date of receipt of their claims i e a 28 day payment floor. Payment floor faqs q. You ll then be linked to the u s. Improved cash flow with a 14 day payment floor for health insurance portability and accountability act hipaa compliant claims which saves time and money.

Claim receipt date payment floor date 10 01 93 through 6 30 04 14th day for emc 27th day for paper claims 07 01 04 and later 14th day for hipaa compliant emc 27th day for paper and non hipaa emc except as noted below the payment floor applies to all claims.