Posted on Monday, April 10, 2017 12:43 PM
The Centers for Medicare and Medicaid Services (CMS) released several Frequently Asked Questions (FAQs) concerning the status of its pre-claim review (PCR) demonstration program.
On March 31, 2017, CMS announced that the PCR would be put on hold in Illinois and delayed in Florida.
This decision was made after NAHC and other home health agency executives met with the new CMS Administrator Seema Verma. Verma requested the meeting to discuss the difficulties with the PCR demonstration.
The FAQs provide the following guidance:
• No further submissions to PCR in Illinois are required
• Pending PCRs will be completed
• Resubmissions of rejected submissions will not be accepted
Effectively, home health agencies in Illinois return to the claim process followed prior to the demonstration project that began in August 2016.
To see the direct link for the Demonstration Pause Q&A, click here.
NAHC will continue to work with CMS to develop alternatives to the pre-claim review demonstration.
For the full article, click here.
About Corridor
Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!
For additional information, please contact Corridor at 1-866-263-3795.
