The Centers for Medicare & Medicaid Services (CMS) announced that beginning April 1, 2022, home health agencies in Florida (FL) and North Carolina (NC) will be subject to a 25% reduction in payment if they choose not to participate in Medicare’s ongoing Review Choice Demonstration (RCD).

Initially, to help NC and FL providers transition to full implementation in the demonstration, CMS had not implemented the 25% payment reduction. Following implementation, claims submitted on or after April 1, 2022 by providers in NC and FL that have selected Choice 1 and do not have a pre-claim review decision, or who selected Choice 3, will be subject to the 25% payment reduction.

Source: U.S. Centers for Medicare & Medicaid Services (CMS)

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