RCD Tip: PCR Task Signed Documentation

Our Medical Review (MR) team has noticed an increased number of providers in Pre-Claim Review (PCR) who are submitting documentation (plan of care, therapy orders, etc.) that are not signed.

As a reminder, for tasks 1 through 4, a signature is required. Documents submitted without a proper physician signature will result in a non-affirmation.

The plan of care must be signed prior to submitting the PCR request. You must submit the signed plan of care before you file the claim for that 30-day period.

Oral orders must be countersigned and dated by the physician before the home health agency submits the final bill.

Helpful Resources

• Medicare Benefit Policy Manual (PDF)
• Comprehensive Assessment Requirements (PDF)
• Therapy Evaluation — CMS Manual 100-02 (PDF)
• PCR Start of Care/Early Period Checklist 
• PCR Late Period Checklist
• Home Health Face-to-Face Checklist