POSTED ON MONDAY, July 13, 2020
CMS announced last week that starting August 3, 2020 Review Choice Demonstration (RCD) will resume no matter what the status of the Public Health Emergency. The initial choice selection period will begin in North Carolina and Florida on August 3, 2020 and end on August 17, 2020. The choice selection period for Ohio’s second review cycle will also begin August 3, 2020 and end on August 17, 2020.
After the choice selection periods, home health claims in all demonstration states: Illinois, Ohio, Texas, North Carolina and Florida, with billing periods beginning on or after August 31, 2020 will be subject to review under their selected choice. This includes pre-claim review, prepayment review, and postpayment review.
“Following the resumption of the demonstration, Palmetto will conduct postpayment review on claims subject to the demonstration that were submitted and paid during the pause. CMS will work with affected providers to develop a schedule for postpayment reviews that not does significantly increase provider burden. Claims that received a provisional affirmative pre-claim review decision and were submitted with an affirmed Unique Tracking Number (UTN) will continue to be excluded from most future medical review. CMS will post more information on the postpayment review process in the near future. “
Source: NAHC Report
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