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CMS Announces Continuation of Phased-In Review Choice Demonstration

Centers for Medicare & Medicaid Services (CMS)

CMS Announces Continuation of Phased-In Review Choice Demonstration

On March 26, 2021, the Centers for Medicare & Medicaid Services (CMS) announced it will continue the phased-in participation of the Review Choice Demonstration for home health agencies in Florida and North Carolina for an additional 90 days. The extension was made due to the continuing public health emergency.

Providers interested in participating should make their Cycle 2 choice selections between April 1, 2021 and April 15, 2021. Cycle 2 will begin on May 1, 2021 for those providers.

  • Providers may choose from a subsequent choice selection based upon their Cycle 1 results.
  • Providers that do not make a choice selection may continue submitting pre-claim review requests.
  • Claims that go through pre-claim review and are submitted with a valid Unique Tracking Number (UTN) will be excluded from further medical review.
  • Claims submitted without going through the pre-claim review process will process as normal and will not be subject to a 25% payment reduction. These claims may be subject to post-payment review in the future through the normal medical review process.

Providers do not need to take any further action if they choose not to participate.

Additional Info

Related Links : https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Review-Choice-Demonstration/Review-Choic

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