As implementation for the Pre-Claim Review Demonstration is being finalized by CMS, your agency has the opportunity to get a head start on what’s to come. CMS has announced that the next state to participate will be Florida starting April 17, 2017. Texas, Michigan, and Massachusetts are still delayed but will be announced soon.
While the documents necessary for PCR submission are not changing, the time line and scrutiny of information is. Let our experienced and knowledgeable staff help ready your agency for the Pre-Claim Review Demonstration. MJS will work diligently with and for your agency to make sure you do not fall behind.
Addendum to Comprehensive Assessment and Addendum to Comprehensive Assessment Instruction Guide for Skilled Nurses
Addendum to Comprehensive Assessment and training manual will provide:
Preliminary Pre-Claim Prep
Send our staff 10 claims prior to submission for physician signature. Our compliance RNs will check the documents for all the required eligibility and coverage standards. You will receive a detailed report that explains which areas need adjustments. The assigned RN will then provide a personalized educational training session via phone conference or webinar in which we will go over the results of the review in detail and discuss how you can improve your readiness. For more information, click the link below.
MJS has developed a Pre-Claim Review service specifically designed to prepare your agency’s claims for proper submittal to obtain a front end, first time affirmed decision. There are 4 steps; Pre-Claim Reveiw, Pre-Claim Submission, Claim Filing, and Claim Appeals. This service will ensure your packet meets requirements while your plan of care is out for physician signature. This makes submittal smoother, faster, and more efficient. For information, click the link below.
We look forward to partnering with you and making the Pre-Claim Reveiw Demonstration process a smooth and financially rewarding transition. Please feel free to contact us with any questions regarding our Pre-Claim Services. We are here to help!
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MJS & Associates, LLC Pre-Claim Service
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