Posted Wednesday, September 6, 2023
CMS will be implementing the Review Choice Demonstration for Home Health Services in Oklahoma, effective December 1, 2023. CMS can expand the demonstration to additional states in the JM MAC jurisdiction if there is evidence of fraud, waste, or abuse in those states. Claims analysis showed increased utilization of home health services in Oklahoma, and Oklahoma had higher allowed expenditures and utilization of home health services than the remaining states in the Home Health & Hospice Medicare Administrative Contractor (MAC) Jurisdiction M not already included in the demonstration. To ensure compliance with Medicare home health requirements and protection of the Medicare trust funds. CMS will implement the demonstration according to the following dates:
- Selection Period Start Date: October 16, 2023
- Selection Period End Date: November 15, 2023
- New Selection Effective Date: December 1, 2023
Source: CMS
Whether your state is currently mandated, or will be soon, Corridor can help you successfully navigate RCD. Our clients utilizing Review Choice Demonstration support have achieved a 99% affirmation rate while under 100% pre-claim review. Recently, Corridor recovered over $16 million in revenue for a large client while maintaining a 99%+ affirmation rate. Click here to learn More about Corridor’s Review Choice Demonstration Support.
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For over 30 years, Corridor has partnered with home health and hospice providers, delivering powerful solutions to support the unique challenges of caring for patients in the home. Our team of operations executives, clinicians, and nationally renowned industry experts have run provider organizations and resolved the same challenges you face. Contact us today to learn how we can help you.
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