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Tag Archives forPre-Authorization

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 […]

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September 21, 2016

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 […]

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February 9, 2016