August 27, 2020 - Updated 10.09.20
Home Health and Hospice Postpayment Review Resources
The August 6, 2020, MLN Connects notified providers that beginning August 17, the Medicare Administrative Contractors (MACs) would resume medical review activities with postpayment reviews of items/services provided before March 1, 2020. As a result, CGS has updated the CGS J15 HHH website with the following information:
- A new Postpayment icon has been added to the Medical Review web page for easy access to resources.
- The Home Health and Hospice Medical Review Activity Log has been updated to identify Postpayment activity.
- The new Medical Review Additional Development Request (MR ADR) Process Postpayment Review web page is specific to postpayment review of claims. Here you will find information about how to check for Postpayment MR ADRs, preparing and submitting your documentation, receipt and review of documentation, outcomes and resources.
- The Additional Development Request (ADR) Overview web page has been updated to include a link to the new Medical Review Additional Development Request (MR ADR) Process Postpayment Review web page, and to update the title to the Medical Review Additional Development Request (MR ADR) Process Prepayment Review, to identify that this MR ADR process is specific to prepayment review.
- A new Postpayment Medical Review Additional Development Request (MR ADR) Quick Resource Tool provides a quick view of the Medical Review postpayment process.
Please share this information with your appropriate staff.