Medicare Coverage Review

A Seamless Extension
of Compliance & Quality

Medicare review of your claims is an inevitability. Let us lighten the burden of the Review Choice Demonstration and Pre-Claim Review as we analyze your documentation and provide detailed insight to ensure you are on the right track.

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Benefits

RCD & PCR
Compliance

Operational
Efficiency

Reduced Stress
on Staff

Quick Turnaround

How Medicare Coverage Review Works

Discover: MAC Legacy will begin the process with a discovery session. Whether you’re facing survey readiness, Face to Face issues or Review Choice Demonstration (RCD) with Pre-Claim Review (PCR), one of our experts will meet with you and your agency leadership to better understand your specific needs.
Review: With access to your EMR, a clinical auditor will review your clinical records to assure compliance with key Medicare home health program requirements.
Recommend: Our team will identify recommendations, if needed, to ensure your compliance with medical necessity, homebound criteria, and Face-to-Face requirements.
Submit: Our team can submit the PCR request for your team, further removing the burden of these regulations.

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Maybe you don’t fit in the box?
We create custom solutions to fit any workflow.

Already Have a Dedicated Staff?

We’ve got you covered on sick days, vacation days, and influx of high volume. Whether it’s full-time or a little help here and there, our team of experts is ready.

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