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CMS Delays Both Pre-Claim Review and New Conditions of Participation

by Blair Stokes

Home health agencies across the nation — especially those in Florida and Illinois — can breathe a sigh of relief knowing that today CMS officially postponed both the effective date of the new Conditions of Participation (CoPs) and the rollout of Pre-Claim Review (PCR) in Florida, originally slated for April 1. PCR is also paused in Illinois, where the project had been active since last August.

Conditions of Participation Effective Date Postponed to 2018
Back in March, CMS proposed delaying new CoPs until January 13, 2018.

UPDATE: On July 7, CMS finalized six-month delay, giving agencies six additional months to digest the comprehensive and fundamental changes on the horizon. However, agencies still won't have much to make their final preparation before the new CoPs take effect. The final interpretive guidelines for the CoPs won't be ready until December 2017, and the proposed guidelines will be released at a not-yet-announced date this fall. For more information, read the Federal Register document here.

Pre-Claim Review Delayed in Florida, Paused in Illinois
According to CMS’ website, “As of April 1, 2017, the Pre-Claim Review demonstration will be paused for at least 30 days in Illinois. The demonstration will not expand to Florida on April 1, 2017.” This new delay comes after PCR was temporarily delayed for agencies in Florida, Texas, Massachusetts, and Michigan in late 2016. For more information, read CMS’ official announcement on their website.

Read more in: Administration, Billing, Clinical, Coding, Legislation, News and Events, Therapy

About Kinnser software

Kinnser Software, Inc. provides web-based solutions that deliver clinical and business results to the home health, hospice and private duty industries. Founded in 2003 and headquartered in Austin, Texas, Kinnser Software serves more than 4,000 home health, therapy, hospice, and private duty home care providers nationwide. Kinnser helps thousands of clinicians and other staff in post-acute healthcare to manage scheduling, billing, electronic visit verification, day-to-day operations, and patient referrals. 

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