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[Music] hi Im Tammy - chief the manager provider outdocHub and education with Palmetto GBA pimento GBA is committed to helping providers navigate the pre claim review process this video will take you through an overview of the process as well as the methods that a provider can submit a PCR request to Palmetto GBA [Music] these are the topics that were going to cover in todays video everything from an overview of the process to the individual decisions that one will received when a PCR request is submitted lets begin with an overview of the process to better understand why we have the pre claim review demonstration due to an overly high amount of fraud in the home health Medicare benefit this demonstration was initiated there was an increase in improper payment rates from 2013 to 2015 it was docHub the goal of the program is to reduce the improper payment rate while increasing the quality of care for Medicare beneficiaries in the benefit this process is different than prior auth
