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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