Home Health & Hospice Week

Industry Note:

MACs Offer 2 New Pre-Claim Review Tools

The HHH Medicare Administrative Contractors are offering two more Pre-Claim Review tools as Florida’s April 1 PCR implementation date looms closer. See an overview flowchart of the PCR process from Palmetto GBA at www.palmettogba.com/Palmetto/Providers.Nsf/files/PCR_Process.pdf/$File/PCR_Process.pdf.

And you can check to see if you are subject to PCR in CGS’s new PCR look up tool at http://cgsmedicare.com/medicare_dynamic/pcr/search.asp.

“Simply enter your HHAs Provider Transaction Access Number (PTAN), also known as the CMS Certification Number (CCN), and a message will display with the PCR demonstration start date (if determined),” the MAC instructs. “If no match is found, your HHA is not impacted by the PCR demonstration,” CGS says.

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