'My experience as a Home Health Physical Therapist and entrepreneur in home health after the implementation of CMS\'s Pre-Claim Review Demonstration (PCRD). It has been in effect in Illinois since August 3, 2016. Why Pre-Claim Review Demonstration? \"CMS is testing whether pre-claim review improves methods for the identification, investigation, and prosecution of Medicare fraud occurring among Home Health Agencies (HHAs) providing services to people with Medicare benefits. Additionally, CMS is testing whether the demonstration helps reduce expenditures while maintaining or improving quality of care.\" [1] CMS\'s Recent Data: “As of Week 22 of the Demonstration, which ended on 12/31/2016, 90.8 percent of pre-claim review requests in Illinois received provisional affirmation, including both fully affirmed or partially affirmed decisions. “ [1] Let me know how the PCRD is affecting you. Share your thoughts below. www.peterbsims.com Reference: [1] http://go.cms.gov/2jUae7F'
Tags: physical therapy , homecare , home health , CMS , PCRD , physicaltherapists
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