Medical Billing And Reimbursement Practice Exam

What is timely filing, and what is the general Medicare time limit for submitting claims?

Claims must be filed within a stated period from the date of service; Medicare generally requires within 12 months. Claims must be submitted within 30 days. There is no deadline for Medicare claims. Claims must be filed within 5 years.

Correct Answer:

Claims must be filed within a stated period from the date of service; Medicare generally requires within 12 months.

Explanation:

Timely filing is the deadline by which a claim must be submitted after the date of service. For Medicare, the general limit is within 12 months from the date of service. Submitting within this window allows the claim to be considered for payment; filing after the window is typically denied unless a valid exception or extension applies. The other options aren’t correct because Medicare has a defined filing window (not 30 days, not no deadline, and not 5 years).

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