Palmetto GBA posts pre-claim checklists

Effective Apr 26, 2019

Published Apr 26, 2019

Last Reviewed Apr 26, 2019

CMS has posted two job aids to help agencies ensure they’re submitting all the information necessary for pre-claim reviews during the review choice demonstration.

One is a pre-claim review initial checklist.

The other is a pre-claim review subsequent episode checklist.

The checklists are valuable tools for agencies to use to document whether information they’re submitting is present, says Joe Osentoski, Troy, Mich.-based reimbursement recovery & appeals director for Quality in Real Time (QIRT).

But the checklists don’t help when it comes to determining the quality of that documentation, Osentoski says.

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