Pre-claim Review Tag

12 Jun Pre-Claim Review Demonstration

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Home Healthcare Industry Lamenting the Return of the Unpopular “Pre-Claim Review Demonstration"

Scores of industry notables and shareholders within the home health care industry are preparing themselves for another conflict over Pre-Claim Review Demonstration (PCRD), the ever controversial initiative spearheaded by the Centers for Medicare & Medicaid Services (CMS). While its original intent was reducing fraud and improper billing in the home health care spectrum, the unpopularity of the policy is consistent, based on its mandate to providers to send in claims for processing much earlier in the care process to increase the likelihood of them meeting requirements.