Preparation for the CMS initiated home health Pre-Claim Review (PCR) is falling short of what is needed to handle simple tasks, such as setting up a reliable documentation submission system. Endless reports of PGBA Medicare Administrative Contract (MAC) losing documents submitted electronically led to a CMS recommendation that home health agencies resort to antiquated fax submissions. Unfortunately, those fax submissions faired no better.
Despite industry-wide concerns about the prior authorization requirement and how it will affect access to care, CMS has put forward their plans for a three-year Medicare pre-claim review demonstration, now dubbed the Pre-Claim Review Demonstration for Home Health Services.
How does clinicians completing their patient documentation in the home relate to higher clinician satisfaction, less audits, and higher Home Health Compare scores?
Yesterday, the U.S. Department of Labor issued the final overtime rule, which is effective December 1, 2016. This rule will dramatically change the standards for salaried workers to qualify for an exemption from overtime requirements, which is likely to have a significant impact on all types of businesses, including home health and hospice.