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News & Press: Regulations & Policy

Centers for Medicare & Medicaid Services Delays Pre-Claim Review

Monday, April 3, 2017   (0 Comments)
Posted by: Robin Childers
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The Centers for Medicare & Medicaid Services (CMS) announce on March 31 that as of April 1, 2017, the Pre-Claim Review demonstration will be paused for at least 30 days in Illinois. The demonstration will not expand to Florida on April 1, 2017.

After March 31, 2017, and continuing throughout the pause, the Medicare Administrative Contractors will not accept any Pre-Claim Review requests. During the pause, home health claims can be submitted for payment and will be paid under normal claim processing rules. CMS will notify providers at least 30 days in advance via an update to the CMS website of further developments related to the demonstration.

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