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CMS Reclaim Review Demo Is Coming to Florida Are You Ready? Disclaimer The information enclosed was current at the time it was presented. Medicare policy changes frequently; links to the source documents
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CMS Pre-Claim Review Demonstration is a demonstration project implemented by CMS to test the impact of requiring providers to submit pre-claim review requests for Medicare home health services.
Home health agencies in certain states, including Illinois, Florida, Texas, Massachusetts, and Michigan, are required to participate in the CMS Pre-Claim Review Demonstration.
To fill out the CMS Pre-Claim Review Demo, home health agencies must submit the necessary documentation and information required by CMS for review before providing Medicare home health services.
The purpose of the CMS Pre-Claim Review Demonstration is to validate the medical necessity and compliance of Medicare home health services, reduce fraud and abuse, and improve program integrity.
Home health agencies must report patient information, physician orders, certification documents, and other relevant documentation necessary to support the medical necessity of Medicare home health services on the CMS Pre-Claim Review Demo.
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