Pre-Claim Review

Pre-Claim Review: What Home Health Agencies Need to Know

2018-09-06T19:55:16+00:00May 31, 2018|News|

In this blog post, we will discuss what the pre-claim review demonstration is, the history of pre-claim review, and the latest updates. In June 2016, CMS announced implementation of a three year Home Health Pre-Claim Review Demonstration. The demonstration was designed to test whether a Pre-Claim Review (PCR) process would improve the identification, investigation, and

Pre-Claim Review Delay in Florida? Maybe. But Be Prepared with our Pre-Claim Review Guide.

2018-03-29T02:26:15+00:00March 15, 2017|News|

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, provide updates as

NAHC to File Pre-Claim Review Lawsuit Against CMS

2017-06-23T19:05:03+00:00October 27, 2016|Conferences, News|

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