Shumaker Manufacturing

A Legal & Industry Review

“Medicare Home Health Payment Update: Florida and Other States are Required to Submit Their Home Health Claims for Pre-Claim Review”

The Centers for Medicare and Medicaid Services (“CMS”) is implementing a new pre-claim review process for home health claims in five (5) states, including Florida.  Other affected states are Illinois, Texas, Michigan, and Massachusetts.  CMS’ stated goal is to make sure home health services are medically necessary without delaying or disrupting patient care or access.  The pre-claim review will begin in Florida no earlier than October 1, 2016 and the other states will be phased in during 2016 and 2017. Continue reading