Pre-Claim Review Start of Care, Early Period Checklist

The Pre-Claim Review Start of Care/Early 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.