Home Health Review Choice Demonstration (RCD)

Published 02/04/2022


RCD Monthly Provider Webinar

This webinar will be held on October 6, 2021

Register Today!

Home health agencies (HHAs) are subject to the Review Choice Demonstration (RCD). Medicare Administrative Contractors (MACs) are required to review an HHA’s documentation to determine if beneficiaries meet home health coverage requirements per the Medicare Benefit Policy Manual, chapter 7 (PDF).

Palmetto GBA provides HHAs with a wealth of information addressing the requirements and expectations of the RCD. Browse our collected articles about all aspects of the RCD.






North Carolina



Helpful Tips

Webinar Schedule

Illinois Home Health Providers and PCR RequestsCan I Tell If a Beneficiary Is Participating in Another Demonstration?Get Your Ten In: Florida and NC HHAs Should Submit Pre-Claim Review RequestsHCPCS Code Errors in eServicesReview Choice Demonstration (RCD) Updated Cycles for Providers in TexasAttention Texas Home Health Providers: You May Begin Submitting PCR Request on March 2, 2020Review Choice Demonstration (RCD) Updated Cycles for Providers in IllinoisIllinois Selection Results Round 2 DataInvalid Unique Tracking Number (UTN)eServices: Inbox Filtering Feature Refines Review Choice Demonstration (RCD) for Home Health Services SearchPCR Affirmation/Claim Approval Rate CalculationUrgent Pre-Claim Review Message for Illinois Home Health ProvidersStay Up-to-Date with the Home Health Review Choice Demonstration via Email UpdatesPre-Claim Review Non-Affirmations: TherapyTexas Selection ResultsDelay in PCR Decision LettersPre-Claim Review Non-Affirmations: HomeboundNorth Carolina Selection Results Round 1 DataClaims Documentation: Make Sure a Beneficiary's Name MatchesUnderstanding Home Health Review Choice Demonstration (RCD) Reason Code 39621Understanding ADRs When Participating in the RCDExtension of Voluntary Participation for providers in North Carolina and FloridaOption to Stay in PCRHome Health Pre-Claim Review (PCR) Unique Tracking Numbers (UTNs) Should Not Be Included on the Request for Anticipated Payment (RAP)Certifying Patients for the Medicare Home Health BenefitReview Choice Demonstration (RCD) and Home Health Episodes of CareJM HH Pre-Claim Review Submission Request FormSelection Period for Home Health Agencies (HHAs) in Texas and IllinoisPre-Claim Review Start of Care/Early Period ChecklistAssure You Make a Home Health Review Choice Selection for Each National Provider Identifier (NPI) and Provider Transaction Access Number (PTAN) CombinationAlternative Ways to Check Your Pre-Claim Review (PCR) Decision StatusHelpful Tip: PCR Point of ContactUnique Tracking Number FactsHome Health Certifying Physician Documentation VideoProviders Under a UPIC Review Do Need to Make an RCD SelectionesMD for the Review Choice Demonstration (RCD) and the Outpatient Department (OPD) Prior Authorization (PA)Review Choice Demonstration (RCD) Options During the COVID-19 PauseFace-to-Face Related to Primary Reason for Home Health ServicesRCD Tip: Using the Correct Provider Transaction Access Number (PTAN)Pre-Claim Review (PCR) Affirmation/Claim Approval Rate CalculationUnique Tracking Number (UTN) Location on the Final ClaimRCD - Refresher 2020 On-demand WebinarRCD Tip: PCR Task Signed DocumentationPhased RCD Participation for Providers in North Carolina and FloridaAdministrative Relief in Response to the 2019-Novel Coronavirus (COVID-19) Pandemic: Pausing Home Health Review Choice Demonstration (RCD)If a patient is involved in another demonstration, such as an Accountable Care Organization (ACO), should the UTN be removed?Targeted Probe and Education (TPE) Excluded from the Review Choice Demonstration (RCD)RCD Terminology ModuleIllinois Home Health Agencies (HHAs) to Begin Review Choice Demonstration (RCD) Cycle 3Illinois Providers Who Selected Pre Claim Review (PCR) as Their Review Choice Must Remember to Include the Unique Tracking Number (UTN) on the Final ClaimPre-Claim Review (PCR) and Low Utilization Payment Adjustments (LUPAs)Home Health Face-to-Face EncounterIllinois Selection ResultsRCD and Appeals New Codes for Therapist Assistants Providing Maintenance Programs in the Home Health SettingReview Choice Demonstration for Home Health Services FlowchartFlorida Selection Results Round 1 DataReview Choice Demonstration Handout2017 Pre-Claim Review (PCR) Data for the state of IllinoisPre-Claim Review Late Period ChecklistPre-Claim Review Non-Affirmations: Face-to-Face EncounterTransitioning from Pre-Claim Review (PCR) to an Additional Documentation Request (ADR) OptionPCR ResubmissionsReview Choice Demonstration (RCD) Postponed for North Carolina and Florida ProvidersReview Choice Demonstration (RCD) for Home Health Services Frequently Asked Questions (FAQs)RESOLVED: Home Health: PCR Duplicate Request RejectionsHome Health RCD Top 5 Non-Affirmation and Claim Denial ReasonsFlorida RCD Selection Results: Round 2 DataNorth Carolina RCD Selection Results: Round 2 DataReview Choice Demonstration Ohio Selection ResultsCMS Extends the Phased-in Participation of the Review Choice Demonstration for Home Health Agencies in Florida and North CarolinaReview Choice Demonstration (RCD) Appeals for Home Health ServicesRCD Illinois Transition to Cycle 4RCD Illinois Transition to Cycle 4Full Implementation of the Home Health Review Choice Demonstration (RCD) for North Carolina and Florida on September 1, 2021Review Choice Demonstration: Non-Affirmations When Transitioning from Pre-Claim Review to Spot CheckCMS Announces Mid-Cycle Selection Period for Florida and North Carolina Home Health ProvidersThe Review Choice Demonstration (RCD) Choice Selection Lookup TooleServices Interruption for Home Health Review Choice Demonstration (RCD) Providers: August 31RCD: North Carolina and Florida Transition Cycle 3RCD: Ohio Transition to Cycle 4RCD Tip for Request for Anticipated Payments and Notices of AdmissionUpdates for Review Choice Demonstration (RCD) Frequently asked Questions and Operational GuideImplementation of the 25 Percent Payment Reduction for NC and FL Home Health RCD Providers on April 1, 2022RCD Illinois Transition to Cycle 5RCD Texas Transition to Cycle 4I received a decision on my Pre-Claim Review request. Why is it still in a pending status?RESOLVED: Some Providers Unable to Submit PCR ResubmissionsRESOLVED: Some Providers Unable to Submit PCR ResubmissionsI Am a Provider in an RCD State and My UPIC Just Ended. Now What Happens?Home Health Face-to-Face Encounters via TelehealthRCD: Ohio Transition to Cycle 5Home Health Plan of Care: Primary DiagnosisRCD: North Carolina and Florida Transition Cycle 4Monthly Review Choice Demonstration (RCD) Provider Webinar Schedule