The Medicare home health pre-claim review (PCR) process implemented in 2016 created extensive operational challenges and payment delays and was eventually “paused” in 2017. A new threat to operational efficiency and cash flow has been proposed to replace PCR in the form of the Review Choice Demonstration (RCD). This proposed demonstration project has far reaching implications to all home health providers in the Palmetto GBA jurisdiction and providers must be prepared for the challenges RCD will have on operations and cash flow.
Being survey ready is an ongoing process that doesn’t occur weeks or months before the survey opportunity window. Agencies need to be aware of high risk areas and survey focus items. During this webinar we will review the top survey deficiencies areas identified in 2018 and what agencies can do now to be in a state of survey readiness.
Your Home Health Agency will be surveyed soon. With all the changes that are constant in the world of Home Health, one thing that does not change is the importance of preparing well for a surveyor to walk through your door - especially with new Conditions of Participation and outcome-driven care now the norm. How to prepare for and perform well in your next Survey should not be a secret.
In this episode, I get to the bottom of Pre-Claim Review, and the "new" version of PCR called Review Choice Demonstration, thanks to Aaron Little of BKD. This new podcast episode goes really in depth on the origin of PCR, and how it ultimately came to its end. It also sheds light on what to expect with the resurrected version!
In this "InBoxing" article, Aaron Little of BKD discusses (the artist formerly known as) Pre-Claim Review. The Medicare home health pre-claim review (PCR) process implemented in 2016 created extensive operational challenges and payment delays and was eventually “paused” in 2017. A new threat to operational efficiency and cash flow has been proposed to replace PCR in the form of the Review Choice Demonstration (RCD).
Aaron and I discuss why it has resurfaced, what has changed, what will be different this time around, and a new name for this significant regulatory change.
Effective care coordination and case management are dependent upon the interdisciplinary team working together towards collaborative goals and coordinating patient care in a proactive manner. Effective case management can enhance patient outcomes by planning a course of interventions and developing a plan to achieve the goal. This webinar will provide an understanding of what an effective case management model looks like and how you can ensure its success within your agency to ensure compliance with the CoP’s.