Medicare Advantage Prompt Pay Act aims to enforce stricter prompt payment rules for Medicare Advantage organizations.
The Medicare Advantage Prompt Pay Act amends title XVIII of the Social Security Act to enhance prompt payment requirements for Medicare Advantage organizations. It establishes a rebuttable presumption for the date a claim is received by an organization, with different timelines for electronic and non-electronic claims. The bill mandates that organizations must pay at least 95% of clean claims within 14 days for electronic claims and 30 days for non-electronic claims. Clean claims are defined as those with complete data sets and proper formatting.
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