Pre-Claim Review: Are You Ready for Implementation?
Summary: Clinical documentation necessary to submit for pre-claim review.
HCSSA Topic(s) Addressed:
Program Description: Preparing for the Pre-Claim Review Demonstration Project should be at the forefront of every Texas
Medicare home health agency’s agenda. From understanding how it operates to how best to avoid
errors that will lead to delayed payment or denied payment. This program presents the technical
details of the project including realistic errors in submissions and how to avoid
them. Also presented is how to handle a denied claim and what to submit on subsequent submissions. Presentation Date: 08.10.2016
Learning Outcome: Upon completion of this program, the viewer will be able to:
About the Presenter:Troy Brooks, JD, is a former Assistant General
Counsel for the Texas Department of Human Services, and has worked extensively with the Home and Community Support Services Agencies Program.
Troy now represents home health agencies across Texas in Medicare and Medicaid disputes with government agencies and their contractors.
He also represents home health agencies in negotiating and responding to government fraud investigations. Troy runs his own law firm,
Brooks Acevedo Attorney at Law in Houston, Texas.