Reference Guides

Review Choice Demonstration (RCD) Roadmap-Digital Download

The purpose of this booklet is to guide the home health agency through the process of RCD (Review Choice Demonstration)—from intake to billing.  Each section contains regulatory information as well as tips for success as agencies navigate RCD.

Brief descriptions of waiver information, due to the COVID-19 Public Health Emergency, have been included with applicable sections. These waivers will end when the PHE is declared to be over.

Table of Contents

Section 1:   RCD Review Choices

Section 2:   Getting Organized

Section 3:   Intake

Section 4:   RCD Submission for Pre-Claim Review (Choice 1)

Section 5:   Postpayment Review (Choice 2)

Section 6:   Minimal Review with 25% Payment Reduction (Choice 3)

Section 7:   Selective Postpayment Review Submission (Choice 4)

Section 8:   Spot Check Review (Choice 5)

Section 9:   Common Denials

Section 10: Glossary


**This product is a digital download and allows one download per purchase.