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…

Review Choice Demonstration to Begin in Ohio on September 30, 2019

The Centers for Medicare & Medicaid (CMS) announced today that the next state to participate in the Review Choice Demonstration (RCD) is Ohio and it will begin on September 30, 2019. In the same announcement, CMS also stated it anticipates 60-90 days between beginning the demonstration in the remaining states of Texas, North Carolina and…

CMS Releases FAQ about Revised Pre-Claim Review Proposal

As we reported last week, the Centers for Medicare & Medicaid Services (CMS) proposed to bring back an altered version of the pre-claim review (PCR) demonstration. The CMS released a list of frequently asked questions (FAQ) and answers about their proposal and they provide some insight into what is coming for the industry if the…