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Preparing for the Upcoming Fiscal Year 2017 Fee-for-Service Claims Billing Closeout

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Information Letter No. 17-13  – This letter is addressed to all service providers, facilities, and agencies. August 31, 2017 is the end of fiscal year closeout and it is important for all providers to promptly submit claims to be paid by the Texas Health and Human Services Commission (HHSC) for any unbilled services. HHS will publish additional details regarding cutoff dates for fiscal year 2017. This information letter addresses the following:

12-month filing rule – Providers should ensure not only that billing is current for all services provided, but also that any problems associated with the claims are resolved within the 12-month filing limitation.

Remittance & Status (R&S) reports – As the new state fiscal year approaches, providers should be particularly diligent in reviewing their R&S reports to ensure recoupments on claims paid by HHSC are valid

Miscellaneous Fee-for-Service claims – Miscellaneous claims occur when the service dates are earlier than two prior fiscal years plus the current fiscal year.

 

Read more on the upcoming billing closeout details here

The post Preparing for the Upcoming Fiscal Year 2017 Fee-for-Service Claims Billing Closeout appeared first on Garlo Ward, P.C..


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