01 Oct Review Choice Demonstration Update
RCD Implementation Update
In the latest homecare news, the Centers for Medicare & Medicaid Services (CMS) will delay the implementation of Review Choice Demonstration (RCD) so agencies have adequate time to adapt to the upcoming Patient-Driven Groupings Model (PDGM) prior to implementation of RCD. In one state however, CMS is not delaying implementation.
Providers in the state of Texas were greeted with the news that CMS on Wednesday is moving forward with RCD in Texas, well ahead of PDGM. The demonstration will begin Dec. 2, thirty days before the revolutionary new reimbursement methodology takes effect nationwide.
Following these events, RCD will pause afterwards to allow for the transition to PDGM in North Carolina and Florida, according to CMS. The demo is expected to begin in those states on March 30, 2020.
RCD, which has already begun in Illinois and Ohio, is designed to cut down on improper billing and allows the government to review home health agency claims for accuracy. It was born out of the failed Pre-Claim Review Demonstration (PCRD), which was paused in 2017 after causing administrative and review problems in Illinois. Illinois was the only state to implement the demonstration.
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