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Stop Pre-Claim Review Demonstration in Illinois: Review Process is FAILING Medicare beneficiaries

Created by K.W. on September 28, 2016

Home Healthcare is an important service for Medicare beneficiaries who are homebound and have health issues that need to be managed by a nurse, home health aide and therapies. Patients are being denied Medicare coverage for inconsistent reasons because the Pre-Claim Review Process is a failure. Illinois is the only state dealing with the Pre-Claim Review Demonstration because it has been stopped in other states. Agencies in Illinois are creating processes to submit clear documentation to justify the need for home health and are being DENIED PAYMENT for inconsistent and nonsense reasons by Centers of Medicare Services. Patients who have paid into Medicare their entire lives will suffer. Agencies will close. Taxpayer money is wasted. Fraud is not being stopped by this. End this in IL now!

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