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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