The Centers for Medicare & Medicaid Services (CMS) has revived a demonstration program – the Review Choice Demonstration – for home health services. The program will give providers in the demonstration states an initial choice of three options: Pre-claim review, post-payment review or minimal post-payment review with a 25 percent payment reduction for all home health services.
Through either pre-claim or post-payment review, the demonstration will help make sure that payments for home health services are appropriate. CMS proposes initially implementing the demonstration in Illinois, Ohio, North Carolina, Florida and Texas.
CMS has posted a 60-day Federal Register Notice here to allow providers the opportunity to review and comment on CMS’ intention to collect information from the public for the revised demonstration. Comments are due by July 30.