HF 707

as introduced - 89th Legislature (2015 - 2016) Posted on 02/09/2015 02:07pm

A bill for an act
relating to human services; setting requirements for timely billing by health care
providers; amending Minnesota Statutes 2014, section 256B.69, by adding a
subdivision.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2014, section 256B.69, is amended by adding a
subdivision to read:

new text begin Subd. 36. new text end

new text begin Timely billing. new text end

new text begin (a) Managed care and county-based purchasing plans
shall not implement timely billing requirements for health care providers under contract
with timelines for claim submission that are shorter than the following:
new text end

new text begin (1) 12 months from the date of service for claims submitted correctly, including
Medicare crossover and third-party liability claims;
new text end

new text begin (2) six months from the date of incorrect payment or 12 months from the date of
service, whichever is greater, for replacement claims;
new text end

new text begin (3) six months from the Medicare determination/adjudication date or 12 months
from the date of service, whichever is greater, for Medicare crossover claims that do
not automatically cross over; and
new text end

new text begin (4) 12 months from the date of service or six months from the date of county
correction, whichever is greater, for resubmission of claims that have been denied
erroneously due to system error or incorrect information from the county.
new text end

new text begin (b) Managed care or county-based purchasing plans must allow health care providers
to submit claims that are over one year old with appropriate, dated documentation, but are
not obligated to pay these claims.
new text end