Pre-Claim Review Initial Checklist

This job aid (PDF, 74 KB) 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 for an initial and subsequent submission.

Note: 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.


Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

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PDAC

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RRB Specialty MAC Beneficiaries

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