CMS extends RCD phase-in for Florida and N.C.

Effective Oct 30, 2020

Published Oct 30, 2020

Last Reviewed Nov 2, 2020

The phased-in participation in the Review Choice Demonstration (RCD) for Florida and North Carolina will be extended through Jan. 1, 2021, due to the continuing COVID-19 public health emergency (PHE), CMS announced Oct. 29.

CMS included the following notes along with their announcement:

Providers may continue submitting pre-claim review requests.
Claims that go through pre-claim review and are submitted with a valid UTN will be excluded from further medical review.
Claims submitted without going through the pre-claim review process will process as normal and will not be subject to a 25% payment reduction. These claims may be subject to post-payment review in the future through the normal medical review process.
Providers do not need to take any further action if they choose not to participate.

Note: To see the update from CMS, visit https://go.cms.gov/3oKWMRM

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