The Centers for Medicare & Medicaid Services (CMS) announced that Review Choice Demonstration (RCD) will begin in Illinois on June 1, 2019.
RCD is an evolution of 2016's Pre-Claim Review Demonstration that incorporates more flexibility for home health agencies (HHAs). Instead of submitting pre-claim documentation on all claims, providers can also choose to submit their claims for review after receiving payment, or opt-out and take a 25% payment reduction on all Medicare claim payments.
The choice selection process for HHAs in Illinois begins on April 17, 2019 and ends on May 16, 2019. Affected HHAs should visit the Palmetto GBA portal here for more information.
We want you to be prepared for RCD, and we have some resources that can help:
For the full RCD update from CMS, click here.
To keep up with the latest on PDGM, the new payment model affecting all HHAs in 2020, check out our PDGM resource page.