Final answer:
If a doctor locks his notes late and claims are filed after the deadline set by the insurance company, they can be denied for late submission. However, if the claims are filed within the timely filing limits, they should be processed and paid.
Step-by-step explanation:
If a doctor does not lock his notes for one year and decides to lock them all in December, the ability to file and have claims paid may depend on the timely filing limits set forth by the payer. Each insurance company and payer have specific policies outlining deadlines for when claims must be submitted to be considered for payment. Typically, these deadlines can range from 90 days to one year from the date of service. If the doctor locks notes too late, and consequently, claims are submitted past the timely filing deadline, there is a risk that those claims will be denied based on late submission.
However, if the claims are locked and submitted before the end of the year, as long as they are within the timely filing limit, they should still be processed and paid. It is crucial for doctors and their billing staff to be aware of each payer's rules to avoid claim rejections. Some payers may offer grace periods or exceptions based on individual circumstances, but this is not guaranteed.