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LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT) Error or misrepresentation by an employee, Medicare contractor, or agent of the Department of Health and Human Services (HHS) that was performing Medicare functions and acting within the scope of its authority. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. CPT is a trademark of the AMA. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Retroactive Medicare entitlement to or before the date of the furnished service. The AMA does not directly or indirectly practice medicine or dispense medical services. Medicare crossover claims for coinsurance and/or deductible must be filed with DOM within 180 days of the Medicare Paid Date. endobj CPT is a trademark of the AMA. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. Provider Payment Dispute Policy - Tufts Health Plan The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. (See section 340 in this chapter.) Note: Each provider request for exception will be evaluated individually based on the evidence submitted with the request. End users do not act for or on behalf of the CMS. 1, 70.7, MM7396: Home Health Requests for Anticipated Payment and Timely Claims Filing, MM7270: Changes to the Time Limits for Filing Medicare Fee-For-Service Claims, MM7080: Timely Claims Filing: Additional Instructions, MM6960: Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404 - Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months, Section 6404 of the Patient Protection and Affordable Care Act, Timely Filing Frequently Asked Questions (FAQs), 26 Century Blvd Ste ST610, Nashville, TN 37214-3685. hSoKaNv'[)m6[ZG v mtbx6,Z7Rc4D6Db%^/xy{~ d )AA27q1 CZqjf-U6._7z{/49(c9s/wI;JL4}kOw~C'eyo4, /k8r?ytVU kL b"o>T{-!EtZ[fj`Yd+-o3XtLc4yhM`X; hcFXCR Wi:P CWCyQ(y2ux5)F(9=s{[yx@|cEW!BFsr( The AMA does not directly or indirectly practice medicine or dispense medical services. Claims must be submitted by the last day of the sixth calendar month following notification that the error has been corrected by the government agency. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant.