Surviving Pre-Claim: Where We Are Today & What Tomorrow May Bring
Home health agencies have been dealt a blow by the Pre-Claim Review Demonstration. Providers are reeling in areas where the program is underway, and they are gripped with uncertainty in areas where it still is set to be implemented.
Since the program began in August, agencies in Illinois have been required to submit Medicare claims for pre-authorization before filing them for payment—and by all accounts the rollout has been a mess, squeezing cash flow and causing administrative upheaval. In response, the Centers for Medicare & Medicaid Services (CMS) has hit pause on the planned expansion to additional states, but it is only a matter of time before that occurs.
With federal lawmakers calling on CMS to scrap the demonstration, industry associations pushing back against it, and agencies working hard to get a handle on mounting challenges, it seems there’s a new wrinkle to keep track of with each passing day. We’ve gathered a panel of experts to give an update on where the program stands and what we’ve learned so far about best operational practices.
During this webinar, experts will cover:
– Up-to-date information on the status of the pre-claim program and a briefing on efforts to halt it.
– Important information on what the pre-claim requirements are, and why CMS has put the program in place.
– Tips for how agencies can put themselves in a sustainable position on pre-claim.
Date: Wednesday, November 2
Time: 1:00pm CST