What the Possible Return of Pre-Claim Review Demonstration Means for Home Health Care Agencies – Is It Time To Consider Selling Your Agency?

What the Possible Return of Pre-Claim Review Demonstration Means for Home Health Care Agencies – Is It Time To Consider Selling Your Agency?

Buying, Selling
What the Possible Return of Pre-Claim Review Demonstration Means for Home Health Care Agencies – Is It Time To Consider Selling Your Agency? Despite objections from stakeholders in the home health industry, the Centers for Medicare and Medicaid Services (CMS) is considering bringing back the Pre-Claim Review Demonstration (PCR) initiative. Initially rolled out in Illinois in August 2016, CMS revoked its plans to extend to program to other states due to negative feedback from those involved in home health services. Now, CMS wants to reintroduce the initiative, but with some key changes. What is the Pre-Claim Review Demonstration for Home Health Services? The overall purpose of the initial PCR was to test whether a pre-claim review process would help to better identify and prosecute Medicare fraud among HHAs. In its…
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