06
Oct
stored in: Tim Rowan's Home Care Technology Report and tagged: CMS's Pre-Claim Review (PCR) pilot program--experiences of healthcare at home agencies in IL. Pre-Claim Review (PCR) pilot program--and extent of high denial rate of claims in IL, denials of Pre-Claim Review (PCR) submissions in state of IL, fraud prevention in healthcare at home service delivery-- status of effectiveness of this prevention by using CMS's Pre-Claim Review (PCR) submissions, healthcare at home providers' experience with CMS's denials of Pre-Claim review (PCR) submissions, OASIS form submissions to CMs with Pre-Claim review (PCR) submissions--IL healthcare at home experiences with this requirement, Palmetto GBH provision of information to healthcare at home providers in IL for submitting Pre-Claim Reviews (PCRs)--currency of information on Palmetto's web site
By Tim Rowan, Editor & Publisher, Home Care Technology Report  Evidence continues to pour in from Illinois that CMS’s Pre-Claim Review pilot is devolving into utter chaos. Pre-Claim auditors at Palmetto GBA issue conflicting decisions, give out inaccurate advice, and change their minds about what the rules are from day to day. The frustration building […]
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