RCD
CMS to Start Review Choice Demonstration in Oklahoma
The Centers for Medicare & Medicaid Services (CMS) will be implementing the Review Choice Demonstration (RCD) for Home Health Services in Oklahoma, effective December 1, 2023. CMS has the ability to expand the demonstration to additional states in the Home Health & Hospice Medicare Administrative Contractor (MAC) Jurisdiction M if there is evidence of fraud, waste, or […]
Read MoreNorth Carolina, Florida Home Health Agencies to See Changes in Review Choice Demonstration
The Centers for Medicare & Medicaid Services (CMS) announced this week that for home health providers subject to the Review Choice Demonstration (RCD) in North Carolina and Florida, the 25 percent payment reduction will be implemented for all claims submitted on or after April 1, 2022. This applies to home health agencies that selected Choice […]
Read MoreCMS Revises Review Choice Demonstration for North Carolina and Florida
Another big win for NAHC Advocacy! The Centers for Medicare & Medicaid Services announced Thursday, August 26, it is modifying the Review Choice Demonstration (RCD) in Florida and North Carolina, so that only those claims with dates of service beginning on and after September 1, 2021 will be subject to additional development request (ADR)/prepayment review if […]
Read MoreRCD Phase-in for Florida and North Carolina Renewed
The Centers for Medicare & Medicaid Services (CMS) announced a continuation of the phased-in participation of the Review Choice Demonstration (RCD) for home health agencies (HHAs) in Florida and North Carolina for an additional 90 days, due to the ongoing COVID-19 PHE. Providers interested in participating should make their Cycle 2 Choice selections between April […]
Read MoreCMS Makes Changes to the Review Choice Demonstration
Today the Centers for Medicare & Medicaid Services (CMS) announced a phased-in approach for the Review Choice Demonstration (RCD) for North Carolina and Florida. Both of these states were set to have RCD begin at the end of this month (See previous NAHC Report coverage here and here.) CMS also posted a change to the […]
Read MoreMedical Review Resumes This Month
The Centers for Medicare & Medicaid Services (CMS) will resume medical revnew this month after originally delaying the program during the COVID-19 public health emergency (PHE). (NAHC Report originally reported this news on July 9.) On March 30, CMS suspended most Medicare Fee-For-Service (FFS) medical review because of the COVID-19 pandemic and, seemingly, for the […]
Read MoreFlorida Reps Urge CMS to Delay Review Choice Demonstration in Florida
A trio of Representatives from Florida have sent a letter to the Centers for Medicare and Medicaid Services (CMS) expressing concerns with the decision to move forward with the Review Choice Demonstration (RCD) program in Florida. In March, due to the burgeoning COVID-19 pandemic, CMS announced that the RCD program would be paused from expansion […]
Read MoreHospice PEPPER Available & Key CMS Updates for Hospice & Home Care in New Open Door Forum
Hospice PEPPER Available The Hospice PEPPER (Program for Evaluating Payment Patterns Electronic Report) is now available. PEPPER is a data report that contains a single hospice’s claims data statistics (obtained from the UB-04 claims submitted to the Medicare Administrative Contractor (MAC)) for areas targeted by CMS as being at risk for improper Medicare payment. Each […]
Read MoreCMS To Resume Medical Review Activities, Including Review Choice Demonstration
The Centers for Medicare & Medicaid Services (CMS) has announced the return of medical review activities, including the Review Choice Demonstration (RCD) program for home health services on August 3, 2020, regardless of the status of the Public Health Emergency (PHE). On March 30 the Centers for Medicare & Medicaid Services (CMS) suspended most Medicare […]
Read MoreCMS Announces Return of Review Choice Demonstration in Early August
NAHC will have more information and analysis of this important event in tomorrow’s NAHC Report. The Centers for Medicare & Medicaid Services (CMS) has announced the return of the Review Choice Demonstration (RCD) program for home health services on August 3, 2020, regardless of the status of the Public Health Emergency (PHE). CMS paused the […]
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