Simione™ Healthcare Consultants


Webinar-Pre-Claim Review: Preparing for the Who, What, When, Where, Why & How

September 27th - 3:00 PM to 4:30 PM

Presenter:  Julia Maroney, RN, MHSA, Director, Simione Healthcare Consultants

CMS has launched a Pre-Claim Review Demonstration for providers in five states (IL, FL, TX, MI, MA) that are enrolled in Medicare for home health services.  With activation of these states scheduled through January 2017, the program requires these HHAs to submit a pre-claim review request and the necessary documentation to their respective MAC for Medicare fee-for-service patients.  Join us to learn more about this CMS effort to increase program reliability by altering the reactive model of making payments and then "chasing down" fraudulent claims or improper payments.  Topics will include the rationale behind the demonstration, the steps involved in the process, and ways HHAs can prepare in terms of operations, claims submissions and staff development.