Home Health Providers in Florida, Texas, Michigan and Massachusetts can breathe a temporary sigh of relief with the announcement from CMS yesterday that implementation of the Pre-Claim Review Demonstration Project will be delayed in these States. They cite need to provide additional education that will, “focus on how to submit pre-claim review requests, documentation requirements and common reasons for non-affirmation.” The announcement provides no relief for Illinois providers, who in effect are the guinea pigs and remain in the full thrust of pre-claim review process. We’ve seen a real mixed bag of results in Illinois, but suffice it to say we are seeing significantly more initial submissions coming back non-affirmed that affirmed. The industry obviously would prefer to see the demonstration project killed and given what is happening in Illinois that is understandable. Our recommendation is that agencies in the announced States and across the country be diligent to obtain education and training in regard to compliant documentation practices to remediate any deficiencies in your organization. CMS reports that 59% of home health claims paid in 2015 were not compliantly documented. Until we show them that we are on top of this issue as an industry and individual providers Medical Review, either by Pre-Claim Review, ZPIC Audits, RAC Audits, ADR’s and Probe Edit Audits are going to continue in full force. SMART Healthcare is your advocate and conducts educational sessions in seminar settings and on-site with home health agencies in regard to compliant documentation practices. Growing up, I like many of you heard the old cliché that an “Ounce of prevention is worth a pound of cure”. Getting a handle on your documentation is that ounce of prevention to secure and retain the hard earned reimbursements you receive for taking care of Medicare Patients. Cash is King, right? To keep your cash – Documentation is King.