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. HEALTHCAREfirst will continue to monitor the status of the Pre-Claim Review Demonstration and provide updates as information is made available.

On October 23, 2016, NAHC announced at their Annual Meeting in Orlando, FL that they will be filing a lawsuit against CMS over the pre-claim review demonstration. Pre-claim review is currently being conducted in Illinois, however initiation of the program in other states has been delayed.

NAHC President, Val Halamandaris, stated that filing a lawsuit is a “last resort” for NAHC but said that he feels as though they have no other choice. He said he plans to lead a tour of Illinois to publicize the damage that pre-claim review has done to patients and providers in the the state. He encouraged NAHC members to band together to fight back against the “scourge of homecare.”

Tell us what you think! How do you feel about pre-claim review? Leave a comment below.