The Centers for Medicare & Medicaid Services has issued a second Paperwork Reduction Act (PRA) notice for public comment for the Home Health Pre-Claim Review Demonstration (A.K.A. Review Choice Demonstration). This notice is for a 30-day public comment period.
Topics: Pre-Claim Review
CMS plans to bring back an altered version of the Pre-Claim Review (PCR) demonstration that was halted at the end of March 2017. The May 29 offer for public comment by CMS revealed that the PCR demonstration found paperwork errors instead of the fraud that it was intended to uncover.
Topics: Pre-Claim Review
CMS announced this week that its pre-claim review demonstration program will expand into Florida for episodes of care beginning on or after April 1, 2017. CMS did not announce start dates for the remaining three states (TX, MA, and MI) slated for pre-claim review expansion.
Topics: Pre-Claim Review
Preparation for the CMS initiated home health Pre-Claim Review (PCR) is falling short of what is needed to handle simple tasks, such as setting up a reliable documentation submission system. Endless reports of PGBA Medicare Administrative Contract (MAC) losing documents submitted electronically led to a CMS recommendation that home health agencies resort to antiquated fax submissions. Unfortunately, those fax submissions faired no better.
Topics: Home Health, Pre-Claim Review