Question

What will be the expected outcome for payment of this claim?

1) Medicare will reimburse at a 40
2) Medicare will require an addendum explaining the reason for the delayed claim submission
3) Medicare will deny the claim based on timely filing rule
4) Medicare will pay the claim for provided services

Answer 1

The expected outcome for payment of this claim depends on the specific situation and Medicare guidelines. It can range from reimbursement at 40% to denial based on timely filing rule. More information is needed to determine the specific outcome.

Step-by-step explanation:

The expected outcome for payment of this claim depends on the specific situation. Let's look at the options:

1. Medicare will reimburse at a 40%: This means that Medicare will pay for 40% of the claimed amount, and the remaining 60% will need to be covered by other means.
2. Medicare will require an addendum explaining the reason for the delayed claim submission: In this case, Medicare will ask for additional information regarding the delayed submission of the claim. This could cause a delay in the processing of the claim.
3. Medicare will deny the claim based on timely filing rule: If the claim is not submitted within the specified time frame, Medicare may deny the claim altogether.
4. Medicare will pay the claim for provided services: This option means that Medicare will cover the claimed amount for the services provided.

Without more information, it is difficult to determine the specific outcome for this claim. It is recommended to review the specific guidelines and requirements of Medicare for the situation in question.