Home Health Review Choice Demonstration (RCD)
Published 11/17/2023
Home health agencies (HHAs) are subject to the Review Choice Demonstration (RCD). Medicare Administrative Contractors (MACs) are required to review an HHA’s documentation to determine if beneficiaries meet home health coverage requirements per the Medicare Benefit Policy Manual, chapter 7 (PDF).
Palmetto GBA provides HHAs with a wealth of information addressing the requirements and expectations of the RCD. Browse our collected articles about all aspects of the RCD.
Appeals
COVID-19
- Review Choice Demonstration for Home Health Services
- Administrative Relief in Response to the 2019-Novel Coronavirus (COVID-19) Pandemic: Pausing Home Health Review Choice Demonstration (RCD)
eServices
- Option to Stay in PCR
- HCPCS Code Errors in eServices
- eServices: Inbox Filtering Feature Refines Review Choice Demonstration (RCD) for Home Health Services Search
- The Review Choice Demonstration (RCD) Choice Selection Lookup Tool
Florida
- HH RCD: North Carolina and Florida Transition to Cycle 6
- HH RCD: North Carolina and Florida Transition to Cycle 5
- RCD: North Carolina and Florida Transition Cycle 4
- Florida RCD Selection Results: Round 2 Data
- Get Your Ten In: Florida and NC HHAs Should Submit Pre-Claim Review Requests
- CMS Extends the Phased-in Participation of the Review Choice Demonstration for Home Health Agencies in Florida and North Carolina
- Florida Selection Results Round 1 Data
Illinois
- RCD Illinois Transition to Cycle 6
- Review Choice Demonstration (RCD) Updated Cycles for Providers in Illinois
- Illinois Selection Results Round 2 Data
- Illinois Providers Who Selected Pre Claim Review (PCR) as Their Review Choice Must Remember to Include the Unique Tracking Number (UTN) on the Final Claim
- Illinois Selection Results
North Carolina
- HH RCD: North Carolina and Florida Transition to Cycle 6
- RCD: North Carolina and Florida Transition Cycle 4
- North Carolina RCD Selection Results: Round 2 Data
- Get Your Ten In: Florida and NC HHAs Should Submit Pre-Claim Review Requests
- CMS Extends the Phased-in Participation of the Review Choice Demonstration for Home Health Agencies in Florida and North Carolina
- North Carolina Selection Results Round 1 Data
Ohio
- HH RCD: Ohio Transition to Cycle 7
- HH RCD: Ohio Transition to Cycle 6
- RCD: Ohio Transition to Cycle 5
- Review Choice Demonstration Ohio Selection Results
- esMD for the Review Choice Demonstration (RCD) and the Outpatient Department (OPD) Prior Authorization (PA)
Oklahoma
- Attention Oklahoma Home Health Providers Who Select Choice 1 (Pre-Claim Review): You Will Begin Submitting PCR Requests on December 1, 2023
- Review Choice Demonstration for Home Health Services in Oklahoma begins December 1, 2023
Texas
- RCD Texas Transition to Cycle 5
- Review Choice Demonstration (RCD) Updated Cycles for Providers in Texas
- Attention Texas Home Health Providers: You May Begin Submitting PCR Request on March 2, 2020
- Texas Selection Results
Helpful Tips
- Home Health RCD Top 5 Non-Affirmation and Claim Denial Reasons
- Understanding ADRs When Participating in the RCD
- Home Health Face-to-Face Encounter
- RCD and Appeals
- PCR Affirmation/Claim Approval Rate Calculation
- Transitioning from Pre-Claim Review (PCR) to an Additional Documentation Request (ADR) Option
- Can I Tell If a Beneficiary Is Participating in Another Demonstration?
- Understanding Home Health Review Choice Demonstration (RCD) Reason Code 39621
- Unique Tracking Number Facts
- Alternative Ways to Check Your Pre-Claim Review (PCR) Decision Status
- Home Health Face-to-Face Encounters via Telehealth
- RCD Tip: Using the Correct Provider Transaction Access Number (PTAN)
- PCR Resubmissions
- Assure You Make a Home Health Review Choice Selection for Each National Provider Identifier (NPI) and Provider Transaction Access Number (PTAN) Combination
- Home Health Pre-Claim Review (PCR) Unique Tracking Numbers (UTNs) Should Not Be Included on the Request for Anticipated Payment (RAP)
- RCD Tip for Request for Anticipated Payments (RAPs)
- Review Choice Demonstration (RCD) and Home Health Episodes of Care
- Review Choice Demonstration for Home Health Services Flowchart
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