Review Choice Demonstration (RCD) for Home Care Agencies

The time to begin preparing for Review Choice Demonstration (RCD) is now - even if it turns out your state is last to participate. When choosing pre-claim review, the workflow processes, quality assurance checks and documentation reviews needed to successfully submit your claims are good business practices. If you select the postpayment review choice, these processes will also minimize chances for claims denials.

Computer and tablet with words QIRT RCD TASK TOOL

The Home Care Agency Solution

QIRT has formed a highly trained and credentialed Review Choice Demonstration (RCD) Team. This team is specifically trained to review the documentation in the patient medical record related to CMS' requirements.

The team will the RCD Task Tool that will alert the agency that:

All documentation is in one place and the agency can submit to the intermediary OR
One or more pieces of documentation is still needed before submission.

The team will work with the agency to put the required documentation in one place, submitted timely, and remove this additional burden from agency staff--allowing them to spend their efforts caring for their patients and not shuffling paperwork.

Agencies Most Likely to Feel the Impact of RCD? Agencies weak in quality assurance.

Requirements include the plan of care, orders for care, and of course the physician face-to-face encounter documentation. Agencies without a strong, consistent, and robust quality assurance asset will be left with significantly impaired cash flow and significant disruption to patient care under RCD.

Why QIRT?

Save staff time and money
Increased likelihood of pre-claim affirmation on first submission
Ensures denied claims are reviewed by experts providing recommendations
Best potential for successful appeal

ADDED BONUS TO RCD PREPARATION?

The practices you put in place now for RCD will also result in smoother transition to PDGM in 2020.

PREPARE WITH QIRT

Preparation is key.
Get out ahead of the changes and alleviate some pressure.
Consider outsourcing part of your process.

QIRT is prepared to support your agency via READINESS AUDITS, CHECKLISTS, AND A TEAM OF EXPERTS.

Find out more.

Call 855.485.QIRT for more information