Posted July 5, 2023
The mission of all home health agencies is to improve patient satisfaction and clinical outcomes, at least in part.
Some of those providers do not feel like the Review Choice Demonstration (RCD) is helping in either of those areas.
“With the extra burden that you have that comes with RCD, it really hasn’t changed or caught these fraudulent actors in our industry,” Janice Riggins, chief clinical officer at VitalCaring, told Home Health Care News. “It really hasn’t improved patient care, it really hasn’t improved outcomes. It’s just that: an ongoing administrative burden.”
However, there are also industry advocates that see benefits in the Review Choice Demonstration.
“Many of the agencies that do like it, what they like about it is that, instead of having to deal with an [additional documentation request] on the back end that they may not be prepared for, they can use the pre-claim review option so they have an idea of what is coming,” Katie Wehri, director of home care and hospice regulatory affairs at the National Association for Home Care & Hospice (NAHC), told HHCN. “That way they know how long it will take to pull the information together and what resources they will need to commit.”
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