Pre-Claim Review Late Period Checklist

Published 11/07/2024

The Pre-Claim Review Late Period Checklist (PDF) was created to assist home health providers submitting for Pre-Claim Review (PCR) during the Review Choice Demonstration (RCD) to ensure all necessary documentation is submitted to Palmetto GBA.

Providers are able to submit for multiple submissions as long as all Medicare documentation and signature guidelines are met. Please refer to the Internet-Only Manual (IOM) for all documentation guideline requirements.


Was this article helpful?

Palmetto GBA Web Chat

Sounds: OnSave Transcript
Please answer the questions below. Additional fields may appear based on previous answers. Fields with a red asterisk (*) are required.
Your InformationClear
1()-x
Inquiry InformationClear
Select your stateClear
Select your stateClear
Provider InformationClear
Patient InformationClear
Patient Name must exactly match the information submitted on the claim, including suffix if applicable.
//
Appeal InformationClear
//
//
Claim InformationClear
//
//
Denial InformationClear
//
//
Rejection InformationClear
DDE InformationClear
Restore InformationClear
//
Prior Authorization InformationClear
//
//
Application InformationClear
Product InformationClear
OtherClear
Additional InformationClear

Are you sure you want to end your chat?

Keep ChattingClose ChatSave Transcript & Close

Webchat

Our dedicated webchat representatives are online to assist you with your general inquiries, provider enrollment, EDI, eServices and more in real-time.