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Pre-Claim Review (PCR)

Foley Hoag LLP

New Massachusetts Bulletin Makes COVID Testing Reimbursement Easier

Foley Hoag LLP on

In an effort to make it easier for laboratories to be reimbursed by insurers for COVID-19 testing, the Massachusetts Division of Insurance has issued a bulletin stating that it expects “carriers to relax” restrictions on...more

Roetzel & Andress

Review Choice Demonstration To Resume On Home Health Care Agencies

Roetzel & Andress on

Effective August 3, 2020, the Centers for Medicare & Medicaid (“CMS”) will resume Home Health Review Choice Demonstration (“RCD”) on home healthcare agencies located in Illinois, Ohio, Texas, North Carolina, and Florida. CMS...more

Roetzel & Andress

Home Health Pre-Claim Review Halted - Except for Illinois Agencies

Roetzel & Andress on

In August 2016, the Centers for Medicare and Medicaid Services (“CMS”) began a Pre-Claim Review (“PCR”) demonstration for all Illinois-based home health agencies. CMS described the intent of the PCR demonstration as testing...more

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