Palmetto GBA and the Review Choice Demonstration
Home Health Providers in Illinois, North Carolina, Ohio, Florida or Texas are gearing up for the implementation of the Review Choice Demonstration (RCD) in their states. TAHC&H is here to ensure you get the top tier education you need to be successful. We have partnered with Palmetto GBA and two Illinois providers to bring you two in person informative workshops with our first ever live stream opportunity. During this presentation, Tammy Tucci will focus on the RCD program and selection process through the eService portal. She will discuss in detail the initial review and subsequent review choices. CJ Sims will follow presenting the clinical side of the Home Health benefit and what Palmetto GBA is looking for when submitting a Pre Claim Review (PCR). Finally, two providers from Illinois will wrap up the session with practical tips and tested processes to help you be successful with RCD.
RCD Goals: 1. Assist CMS in developing improved methods to identify, investigate, and prosecute potential fraud
2. Protect the Medicare Trust Fund
3. Reduce the rate of improper payments
4. Improve provider compliance with Medicare rules and requirements
5. Offers providers increased flexibility and choice
6. Risk-based changes to reward providers who show compliance with policies
Effective date: Illinois to begin June 1, 2019! Ohio, Texas, North Carolina, and Florida will be included in the demonstration. CMS and Palmetto GBA will provide at least 60 days’ notice prior to the demonstration starting in each additional state.
Faculty:
Tammy Tucci Manager, Provider Outreach & Education Palmetto GBA
CJ Sims Senior Provider Education Consultant Provider Outreach & Education Palmettos GBA
|
|
Cheryl Adams, RN, BSN, MBA, Administrator At-Home Health Care of Sparta Community Hospital President, IHHC
Sheila Guither MSN, RN, CWOCN, COS-C OSF Home Care Services Past President, IHHC
|
|