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25 July 2018 - 10:13, by , in Blog, Post Acute, Comments off
At the end of May 2018, CMS released a notice to providers describing their intention to implement an updated version of the previously paused Pre-Claim Review Demonstration. The revision is titled “Review Choice Demonstration for Home Health Services (RCD). Providers in the RCD states should not wait to act.
Audit
10 February 2018 - 9:14, by , in Blog, Compliance, Comments off
The Recovery Audit Contractor (RAC) Performant Recovery, Inc. announced last month that they will conduct a complex home health review for documentation and medical necessity. They will do an annual additional development request (ADR) limit that will be one-half percent (0.5%) of the total Medicare paid claims from the previous year.