Home Health Pre-Claim Review Demonstration Suspended Until Further Notice

On Friday, March 31st, CMS announced that as of April 1, 2017, the Home Health Pre-Claim Review Demonstration (PCR) would be suspended for at least 30 days in Illinois. Additionally, the Demonstration would not expand to Florida on April 1, 2017 as orginally planned. It indicated that the suspension of the Demonstration was enacted to consider a number of changes for structural improvement of the program. […]

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Pre-Claim Review Delay in Florida? Maybe… But You Still Want to be Ready

 
Update: On March 31, 2017, CMS stated that the Pre-Claim Review Demonstration will not expand to Florida on April 1, 2017 as planned. CMS will notify providers at least 30 days in advance via an update on their website of further developments related to the demonstration. HEALTHCAREfirst will continue to monitor the status and provide updates as information is made available. […]

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Pre-Claim Review Demonstration to Expand to Florida in April 2017

Update: On March 31, 2017, CMS stated that the Pre-Claim Review Demonstration will not expand to Florida on April 1, 2017 as planned. CMS will notify providers at least 30 days in advance via an update on their website of further developments related to the demonstration. HEALTHCAREfirst will continue to monitor the status and provide updates as information is made available. […]

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NAHC to File Pre-Claim Review Lawsuit Against CMS

Update: On March 31, 2017, CMS announced that as of April 1, 2017, the Pre-Claim Review demonstration will be suspended for at least 30 days in Illinois. The demonstration will not expand to Florida on April 1, 2017.  CMS will notify providers at least 30 days in advance via an update to their website of further developments related to the demonstration.  […]

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Pre-Claim Review Demonstration Update

Update: On March 31, 2017, CMS announced that as of April 1, 2017, the Pre-Claim Review demonstration will be suspended for at least 30 days in Illinois. The demonstration will not expand to Florida on April 1, 2017. CMS will notify providers at least 30 days in advance via an update to their website of further developments related to the demonstration. […]

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Home Health Pre-Authorization Project

Feedback is Requested from Home Health Agencies
Pre-Authorization for Home Health Services? It’s a possibility! CMS recently proposed a new demonstration project for home health providers in Florida, Texas, Illinois, Michigan, and Massachusetts. The project is geared towards helping to assure that payments for home health services are appropriate before the claims are paid, which would then prevent fraud, […]

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