Open Door Forum Summary: Updates on iQIES Transition Update and Home Health & Hospice

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, & DME Open Door Forum (ODF) on January 8, 2020.  A summary is provided below, beginning with home health and followed by hospice. HOME HEALTH iQIES Transition CMS indicated in the ODF that it is aware of several issues with the iQIES…

CMS Updates Review Choice Demonstration FAQs to Address PDGM

The Centers for Medicare & Medicaid Services (CMS) has updated the Frequently Asked Questions (FAQs) and the Operational Guide for the Review Choice Demonstration(RCD)to include additional information on how the Patient-Driven Groupings Model (PDGM) will affect the demonstration. CMS updated the Operational Guide in early December  to include instructions for submitting documentation relate to PDGM,…

Important Information for all HHA in Review Choice Demonstration under PDGM

For those home health agencies that are part of the Review Choice Demonstration and have selected the Pre-claim Review (PCR) option, the long awaited CMS update confirming that HHAs will need to submit a PCR for each 30-day billing period has been posted.  CMS updated the RCD Operational Guide, Chapter 6, with the following: For…

Implementation of Review Choice Demonstration Delayed

The National Association for Home Care & Hospice (NAHC) has been urging the Centers for Medicare & Medicaid Services (CMS) for months to delay implementation of the Review Choice Demonstration, as it is our view that to implement RCD in December 2019 in Texas and then the Patient Driven Groupings Model only weeks later, would…

CMS Announces Expansion of Review Choice Demonstration to More States

Texas starts in December, North Carolina and Florida in 2020 Updated to include a statement from NAHC President William A. Dombi The Centers for Medicare & Medicaid (CMS) announced today that the next state to participate in the Review Choice Demonstration (RCD) is Texas and it will begin on December 2, 2019. In the same…

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…

Summary of CMS Forum on PDGM, RCD & Much More

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, and DME Open Door Forum (ODF) yesterday afternoon.  Topics included Patient Driven Groupings Model (PDGM) Review Choice Demonstration Home Health Quality Reporting Program Home Health CAHPS Survey Hospice Quality Reporting Program Hospice CAHPS Survey Change Request (CR) 11049 A summary of the…

CMS to Host Open Door Forum on Review Choice Demonstration

The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum on the Review Choice Demonstration on Tuesday, November 27, 2018 from 1:30 PM to 3:30 PM Eastern time. This Special Open Door Forum will be conference call only. Please dial in 15 minutes prior to the start of the call.…

Results of the CMS Webcast on Review Choice Demonstration

The November 13, 2018 webcast from the Centers for Medicare &Medicaid Services (CMS) provided an overview of the Revie Choice Demonstration for home health services, with numerous interesting details.  CMS will implement a 5-year Review Choice Demonstration (RCD) for the Home Health agencies in the states of  Illinois, Ohio, North Carolina, Florida, and Texas, with…