Medical Review Resumes This Month

The Centers for Medicare & Medicaid Services (CMS) will resume medical revnew this month after originally delaying the program during the COVID-19 public health emergency (PHE). (NAHC Report originally reported this news on July 9.) On March 30, CMS suspended most Medicare Fee-For-Service (FFS) medical review because of the COVID-19 pandemic and, seemingly, for the…

CMS To Resume Medical Review Activities, Including Review Choice Demonstration

The Centers for Medicare & Medicaid Services (CMS) has announced the return of medical review activities, including the Review Choice Demonstration (RCD) program for home health services on August 3, 2020, regardless of the status of the Public Health Emergency (PHE). On March 30 the Centers for Medicare & Medicaid Services (CMS) suspended most Medicare…

CMS Issues Two New Change Requests for Medical Review

The Centers for Medicare & Medicaid Services (CMS) recently issued two Change Requests (CR) related to medical review: Change Request 10930 – Templates in Medical Review and Change Request 10963 – One-on-One Education. CR 10930 updates the Medicare Program Integrity Manual to clarify that CMS does not prohibit the use of templates to facilitate record-keeping.…