Review Choice Demonstration – What You Should Know
Know the Facts
Our Home Health Review Choice Demonstration (RCD) Services ensure the documentation from your home health services are appropriate for payment based on your choice!
CMS has indicated they plan to roll out RCD to Alabama, Arkansas, Georgia, Kentucky, Indiana, Louisiana, Mississippi, New Mexico, Oklahoma, South Carolina, and Tennessee in the next year or two.
Illinois home health agencies are NOT exempt from the requirements of Review Choice Demonstration, however, CMS will award credit to those agencies in Illinois that performed well under the Pre-Claim Review Demonstration (PCR). This means that agencies that attained at least 90% affirmation on claims submitted during PCR will be allowed to choose from the following options at the start of RCD:
Illinois agencies that didn’t reach at least 90% affirmation on claims submitted during PCR will be required to choose from one of the “initial” options from the start of RCD:
IHHC frequently hears from providers asking which option is the best choice under RCD. The short answer is that there is not one best choice for all providers—you should consider your business model, payer mix, workflow, staffing levels and claims volume when determining which choice is best for your agency. Here are a few important considerations: