Review Choice Demonstration Update

Posted Monday, March 29, 2021

Due to the continuing public health emergency, CMS will continue the phased-in participation of the Review Choice Demonstration for Home Health Agencies in Florida and North Carolina for an additional 90 days. Providers interested in participating should make their Cycle 2 Choice selections between April 1, 2021 and April 15, 2021.  Cycle 2 will begin on May 1, 2021 for those providers.

  • Providers may choose from a subsequent choice selection based upon their Cycle 1 results.
  • Providers that do not make a choice selection 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 postpayment 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: CMS

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