Home Health & Hospice Week

Industry Notes:

CGS Agencies Finally Catch Up On PCR Submission Method

Get familiar with esMD for quickest submission.

Submission difficulties are just one of the many complaints home health agencies have about the Pre-Claim Review program operating in Illinois. But now one HHH Medicare Administrative Contractor is trying to ease the process.

CGS is pleased to announce that home health providers can now submit pre-claim review (PCR) requests using esMD,” the MAC says in a Nov. 3 post to its website.

But to send PCR requests via esMD, “you must first obtain access to a CONNECT-compatible gateway,” CGS instructs. “Providers may choose to build their own gateway; however, you may enter into a contract or other arrangement with a Health Information Handler (HIH).”

More esMD info is at www.cms.gov/Research-Statistics-Data-and-Systems/MonitoringPrograms/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/index.html.