CLINICAL DOCUMENTATION ADVISORY
Review Choice Demonstration (RCD)
Review Choice Demonstration in Oklahoma
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
Don’t leave your agency at risk for disruptions in cash flow! 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.
Corridor Offers 2 Service levels:
Option 1: Clinical and technical review to ensure all PCR requirements are met with packet creation for submission to intermediary.
Option 2: Includes option 1 PLUS entering record directly into eServices and tracking until affirmation is received.
THE CORRIDOR DIFFERENCE: EXPERT STAFF + PROPRIETARY TECHNOLOGY
Our experts don’t just skim the surface, we provide a deep chart review utilizing proprietary technology that allows us to:
Related Services
For over 30 years, Corridor has partnered with home-based care providers, delivering powerful solutions to support the unique challenges of caring for patients in the home.
We Understand Your Home Health & Hospice Challenges:
Precise clinical documentation is critical to delivering high-quality patient care, documenting clinical quality and receiving appropriate reimbursement. Corridor combines specialized talent with tech-enabled solutions to help eliminate inaccuracies in coding & documentation leading to full and fair reimbursement.
Our Solutions
Regulations, complexity and the increasing payor “share” of Medicare Advantage and commercial insurers are slowing reimbursement with time-consuming, manual steps in the revenue cycle. Corridor’s tech-enabled processing accelerates internal processes and payor response, helping you obtain timely and accurate reimbursement.
Our Solutions
Are your clinical support or billing teams stretched too thin? Ease administrative burdens so your staff can focus on patient care. Corridor’s solutions flex with your volume changes, automate existing processes, and provide predictable costs so you can focus on the work that matters most.
Our Solutions
Repetitive tasks, fragmented workflows, and outdated processes not only cause inaccuracies, but they cost valuable time – and your staff hates all the extra work & clicks. Corridor’s solutions relieve these frustrations while saving you money and preparing your business for future growth!
Our Solutions
With regulations constantly changing and becoming more complex, the work of complying is more difficult than ever – and the financial consequences more severe. Corridor combines decades of best practices, technology with built-in compliance, and turn-key educational resources to help you stay compliant in an ever-changing environment.
Our Solutions
