tci Medicare Compliance & Reimbursement - 2016 Issue 18

Home Health: 4 States Win Temporary Pre-Claim Review Reprieve

Medicare indicates need for more education. While Illinois Home health agencies are still struggling under Medicare’s Pre-Claim Review demonstration, agencies in Florida, Texas, Massachusetts, and Michigan are getting some relief as launch dates are put on hold. The Centers for Medicare & Medicaid Services has announced an indefinite delay to PCR’s roll-out in the four states, which were scheduled for demo launches Oct. 1 (Florida), Dec. 1 (Texas), and Jan. 1. Background: CMS launched the PCR program in Illinois on Aug. 3, and soon thereafter complaints about the program came rolling in. Criticisms ranged from technical submission...

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