On Thursday, October 29, CMS announced they will be extending the phased-in participation deadline for the Review Choice Demonstration in the states of North Carolina and Florida until January 1, 2021, in light of the continuing COVID-19 public health emergency.
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- Providers may continue submitting pre-claim reviews if they choose to.
- Claims that go through pre-claim review and are submitted with a valid UTN will be excluded from further medical review.
- Claims submitted without going through pre-claim review will process as normal and will not be subject to a 25% payment reduction, although these claims may be subject to post-payment review in the future via the normal medical review process.
- Providers do not need to take any further action if they choose not to participate at this time.
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Access the announcement here.
