Home Health

CMS releases updated FAQs on the Review Choice Demonstration

CMS has released an updated operational guide and frequently asked questions (FAQs) on the home health Review Choice Demonstration.

The FAQs were updated Jan. 6 and include new questions related to the Patient-Driven Groupings Model (PDGM) which took effect Jan. 1. In one of these FAQs, CMS explains that agencies should not use the same Unique Tracking Number (UTN) on both 30-day payment period claims for a single 60-day episode of care.

Instead, when the multiple episode or billing period option is used, two or more UTNs will be generated. Each 30-day period will have it’s own UTN. Agencies should put the right UTN on the corresponding 30-day billing period claim to avoid claims being returned to provider.

The operational guide was updated in December without announcement.

Related links: Find the updated operational guide at https://go.cms.gov/2FKYJIq. Find the updated FAQs at https://go.cms.gov/30lCQZN.