CMS announced December 22, 2020 that they will extend the phased-in participation of the Review Choice Demonstration for home health agencies in Florida and North Carolina until March 31, 2021 due to the COVID-19 pandemic. Read below for more details on the announcement:
- Providers may continue submitting pre-claim review requests
- Claims that go through pre-claim review and are submitted with a valid UTN will be excluded from further medical review
- Claims submitted without going through the pre-claim review process will process as normal and will not be subject to a 25% payment reduction. These claims may be subject to postpayment review in the future through the normal medical review process.
Note that providers do not need to take any further action if they choose not to participate. For more information on Review Choice Demonstration, visit the CMS.gov website.
Need more resources on preparing for the Review Choice Demonstration?
Learn the changes RCD brings and ensure your agency is prepared for its impacts to develop a fully efficient process that meets healthcare regulatory compliance. Download our eBook “Navigating Review Choice Demonstration” for a guide to the best RCD choice for your agency.
