CMS Extends Phased-in Review Choice Demonstration in Florida and North Carolina

Posted Monday, November 2, 2020

CMS announced last week that due to the continuing public health emergency, they will be extending the phased-in participation in the Review Choice Demonstration (RCD) for Home Health Agencies in Florida and North Carolina until January 1, 2021.

  • 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 post payment review in the future through the normal medical review process.
  • Providers do not need to take any further action if they choose not to participate.

Source: NAHC Report


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