CMS Revises Review Choice Demonstration for North Carolina and Florida

Posted Saturday, August 28, 2021

Review Choice Demonstration (RCD) is about to be rolled out in North Carolina and Florida, and CMS announced on August 26, 2021, that they are making a big change from their initial plan. Originally the procedure was that all claims submitted on or after August 31st would be subject to the rules of RCD even if the claim was prior to that date.

“After further discussions, we are modifying our Florida and North Carolina implementation plans such that only those claims with dates of service beginning on and after Sept. 1, 2021, will be subject to ADR/prepayment review if they are submitted without a UTN/pre-claim review decision,” CMS told provider groups Thursday. “We hope that this alleviates some of the concerns you mentioned and will help providers focus on new and upcoming dates of service as they transition to the demonstration processes.”

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As the preferred RCD partner, Corridor has successfully helped HHAs achieve a 99% affirmation rate while under 100% pre-claim review resulting in the organization being able to switch to a 5% spot check.

If you are impacted by RCD, click here or call Corridor today at 1-866-263-3795.


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