**Update - April 3, 2018: CMS announced that Review Choice Demonstration will begin on June 1, 2019. The choice selection process for HHAs in Illinois begins on April 17, 2019 and ends on May 16, 2019.
In 2016, CMS began rolling out a pilot program to enforce a more proactive oversight strategy on Medicare home health claims in an effort to reduce fraud and waste. The ultimate goal was to reduce improper payments and the cost of additional documentation and resources it takes for CMS to chase them. This "Pre-Claim Review" demonstration subjected home health agencies to additional billing scrutiny and red tape.