Texas Providers – Review Choice Selection Period OPENS TODAY

Just a reminder for those providers in Texas who did not previously make a selection for RCD:  The Selection Period re-opened today.  The current Review Choice Selection period ends on 02/13/2020. Once this period ends you will be unable to change your choice until the next cycle (10/01/2020-10/14/2020).  Providers who do not make a selection before the period ends will automatically be put into Choice 2: Postpayment Review:  100 percent of claims are reviewed after final claim submission. Updated 01/06/20  Default selection if no initial review choice made.  Once the claim is submitted, Palmetto GBA will process the claim for payment then ask via an Additional Documentation Request (ADR) for the HHA to submit medical records. If a response to the ADR is not received, an overpayment notification will be issued. After each six month period a claim approval rate will be calculated and communicated to the HHA.  You can make this selection by logging into your PGBA E-Services Account @ https://www.onlineproviderservices.com

Additional Updated Information is available @ https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Review-Choice-Demonstration/Downloads/RCD-FAQs.pdf

 

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