The Review Choice Demonstration (RCD) selection period is currently open for Illinois (Cycle 5) and Texas (Cycle 4) from March 1, 2022 through March 16, 2022. Selections made during this time will go into effect on April 1, 2022. Providers that DO NOT MAKE A SELECTION will automatically be placed in a default category based…
Tag: RCD
Additional Document Requests
Additional Document Requests (ADRs) strike fear into the hearts of most home health and hospice providers. One of the leading reasons for claim denial results from providers not responding to ADRs. That, in itself, will lead to more scrutiny. Providers need to ensure they have a clear cut ADR process including prompt identification of the…
Review Choice Demonstration
The Review Choice Demonstration continues for Medicare home health services in selected states–specifically, Illinois, Ohio, Texas, Florida, and North Carolina. Here’s some of the latest news of RCD: Due to the lingering public health emergency, CMS has extended the phased-in participation for Florida and North Carolina until July 31, 2021. This allows the agencies in…
Home Health RCD Top 5 Non-Affirmation and Claim Denial Reasons
Review Choice Demonstration (RCD) did not add any new requirements, but home health agencies are still struggling with the Face-to-Face (F2F) and getting an affirmation. Agencies need to remember that the F2F documentation must be “related” to the primary diagnosis (the primary reason for home care) and must be timely. This means that the encounter…
