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    Compliance & Survey

    RCD (Review Choice Demonstration)

    The Review Choice Demonstration (RCD) is a CMS program that requires Medicare home health agencies in participating states to have essentially all claims reviewed, letting each agency choose how: pre-claim review before final billing, postpayment review after payment, or reduced-review options earned through good performance. RCD currently operates in Illinois, Ohio, Texas, North Carolina, Florida, and Oklahoma, and CMS extended it for five more years effective June 1, 2024.

    Definition

    The Review Choice Demonstration (RCD) is a CMS program that requires Medicare home health agencies in participating states to have essentially all claims reviewed, letting each agency choose how: pre-claim review before final billing, postpayment review after payment, or reduced-review options earned through good performance. RCD currently operates in Illinois, Ohio, Texas, North Carolina, Florida, and Oklahoma, and CMS extended it for five more years effective June 1, 2024.

    Why it matters

    RCD (Review Choice Demonstration) is part of the Compliance & Survey vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.

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    Related terms

    36-Month RuleAccreditation (ACHC, CHAP, TJC)Anti-Kickback StatuteBackground Checks and ScreeningCare CompareChange of Ownership (CHOW)

    Listen While You Read

    Conversations on compliance & survey

    Episodes from Inside Home Health that put RCD (Review Choice Demonstration) in operational context.

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