Home Health Blogger

Home Health Billing: Pre-Claim Review Updates

Posted by Peggy Mathews on Nov 16, 2016

The home health billing Pre Claim Request (PCR) CoversheetPDF was updated to include all the options available for submitting PCR requests.  Please note that if you submit your request via myCGS, and want the PCR decision notification letter faxed to you, please include your fax number in the space provided at the bottom of the coversheet.

The following updates were made to the Pre-Claim Review Demonstration for Home Health Services Web page.14-11-04-CMS.jpg

The “How to Submit” information under Step 2 was revised to include esMD as an option for submitting PCR requests.  The “Note” was also revised to instruct providers to include their fax number in the space provided on the Pre Claim Request (PCR) Coversheet, if they submit the PCR via myCGS and want the PCR decision notification letter sent to them via fax.  If no fax number is provided, the PCR decision notification letter will be sent via mail.

A link was added to the “Additional Resources” section to provide quick access to the questions and answers from the September 27, 2016, Pre-Claim Review Demonstration for Home Health Services Ask-the-Contractor Teleconference (ACT).

The Home Health Pre-Claim Review (PCR) Demonstration Fact SheetPDF was updated to include esMD as an option for submitting PCR requests.

Please find this article at the CGS Website: a CMS Contractor.

 

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