CMS Revises Review Choice Demonstration for North Carolina and Florida - Healthcare Synergy, Inc.
Summary
After CMS announced earlier this month (see NAHC Report) that effective September 1, 2021, full implementation of RCD would begin for home health providers in Florida and North Carolina, NAHC raised concerns about the policy with the agency and began advocating for CMS to revise their implementation plans to alleviate these concerns. Following outreach by NAHC and the Home Care Association of Florida and the Association for Home & Hospice Care of North Carolina, CMS announced that the 25 percent reduction would not be applied for a period of 90 days from the full implementation date of RCD in NC and FL. This would include any billing periods that had not yet been submitted as of September 1, 2021, with a date of service on or after the start of the demonstration in North Carolina and Florida (August 31, 2020). Therefore, NAHC went back to CMS because the pressures of the COVID-19 public health emergency that led to the phased in implementation and transition policy have not eased. If HHAs try to space out those two claims groups to mitigate the workload concerns, cash flow problems could be triggered.
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