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{"DID":"crit15d1eb","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"07-27-2023 07:43","End Date":"07-28-2023 13:01","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, July 28, 2023, for staff training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit2114dd","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-23-2023 10:46","End Date":"08-25-2023 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, August 25, 2023, for staff training.\n","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit32a323","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-14-2023 15:04","End Date":"06-16-2023 17:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an eight-hour staff training on Friday, June 16, 2023.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit34c5e3","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"03-24-2023 08:40","End Date":"03-26-2023 12:00","Content":"eServices eAudit data is currently unavailable. We are working to resolve this issue and will remove this message when functionality is restored.","URL":"","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4334e1","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"07-11-2023 15:05","End Date":"07-14-2023 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, July 14, 2023, for staff training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit44c243","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-16-2023 14:38","End Date":"11-24-2023 18:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed November 23 and 24, 2023, in observance of the Thanksgiving holiday.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crita42d51","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-31-2023 15:00","End Date":"09-04-2023 17:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, September 4, 2023, in observance of Labor Day.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crita54bdb","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"05-24-2023 13:47","End Date":"05-29-2023 18:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, May 29, 2023, in observance of Memorial Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crita5c5ba","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-08-2023 10:22","End Date":"11-10-2023 22:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an 8-hour training on Veterans Day, Friday, November 10, 2023.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"critbca1cd","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-28-2023 13:50","End Date":"11-28-2023 20:18","Content":"The Provider Contact Center (PCC) has closed for today, November 28, 2023, due to technical issues. The PCC will resume taking calls tomorrow during normal business hours. We apologize for the inconvenience and appreciate your patience. ","URL":"","Target":null,"Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"critce3553","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"09-13-2023 13:16","End Date":"09-15-2023 12:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, September 15, 2023, for staff training","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critd1a1c4","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-29-2023 09:58","End Date":"07-04-2023 17:30","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Tuesday, July 4, 2023, in observance of Independence Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critd33c3a","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-28-2023 13:50","End Date":"12-01-2023 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, December 1, 2023, for staff training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critdbc2e4","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"10-05-2023 13:16","End Date":"10-09-2023 17:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an 8-hour training on Columbus Day, Monday, October 9, 2023.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}

Transitioning from Pre-Claim Review (PCR) to an Additional Documentation Request (ADR) Option

Published 01/20/2021

At the end of a Review Choice Demonstration (RCD) six-month Cycle, a Home Health Association (HHA)’s may choose a different review option. In some cases, the HHA may move from Choice 1 (PCR) to an option that involves ADRs. Choices that include generation of ADRs include:

Choice 2: 100% postpayment review
Choice 4: Selective postpayment review of a statistically valid random sample (SVRS) of claims every six months for the remainder of the demonstration; or
Choice 5: Spot Check Review of 5 percent of claims every six months to ensure continued compliance. This type of ADR review is done via pre-payment review.

The eServices Portal will be updated to reflect your new Choice selection. When transitioning from Choice 1 (PCR) to any other choice, the RCD tab in eServices will no longer be available for PCR submissions or resubmissions. If the HHA has a pending PCR submission, wait for the decision and UTN, and use that UTN when the claim is submitted. If the final decision is a partial affirmation or non-affirmation, submit the claim with the UTN. Any part of the claim that is denied can be appealed through the normal appeals process.

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