Home Health PCRs – Powerful and Personal Touch to Getting Affirmed Claims

For five years, MJS has worked with providers across several states to process Pre-Pay Review Claims for the agency participating in this Review Choice Level. Our results are outstanding for first submission affirmations! Why?

Because we utilize a personal approach, not computer generated, or AI reviewed.

Our PCR team knows what is required and they evaluate each claim for its eligibility before it is submitted. From appropriate F2F encounters to OASIS and POC coding, your PCR is checked for every level of compliance. And you are informed in writing within 8 business hours of receipt of your claim readiness of any holds that will prevent affirmation so that corrective action can be implemented by your team quickly.

Our PCR team files your submission through eServices, tracks, and uploads letters from Palmetto to your EMR, enters PCR affirmation numbers for claim development, and provides daily feedback in reports that keep you informed “real time” regarding the status of your PCRs.

Our PCR team works with your agency’s intake and clinical managers to improve performance through education phone calls, ZOOM meetings, and one-to-one feedback on trends that delay claim submission.

Let us be your personal PCR manager at a much lower cost than doing it in-house!

Send inquiries to:  complianceconsulting@mjanspears.com or click the "Find out More" link above for more info.