Providers under Review Choice Demonstration (RCD) should soon see a faster response time for resubmissions under pre-claim review.
Response times will be changing from 20 business days to 10 business days, effective Dec. 1, 2023, according to a notice from Palmetto GBA, the MAC that services RCD states.
Pre-claim review is preferred by the vast majority of providers under RCD, with alternatives seen as more likely to impact payment.
The move will come just as Oklahoma providers join the RCD model states of Florida, Illinois, North Carolina, Ohio and Texas.
The processing time for the initial submissions will remain 10 business days, Palmetto noted.