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CMS Open Door Forum RCD IRF

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The Centers for Medicare and Medicaid Services (CMS) has announced that they will conduct a special open door forum (ODF) that will focus on the Review Choice Demonstration (RCD) for inpatient rehabilitation facilities (IRFs). The ODF is scheduled for Tuesday, June 27, 2023 from 1:00 pm – 2:30 pm.

By utilizing the RCD, CMS indicates that this demonstration establishes a review choice process for IRF services to test whether such a process improves methods for the investigation and prosecution of fraud, and provides flexibility for IRFs, as well as a risk-based approach to reduce burden on providers demonstrating compliance with Medicare requirements for IRF services. Initial feedback shows that the RCD will have IRFs choose one of two tracks: 100 percent pre-claim review or 100 percent post-payment review, for the first cycle. Additional information has been requested from CMS on these tracks.

Beginning August 21, 2023, CMS will implement the RCD for IRF services in Alabama. The second phase, while no specific timeline has been released, will include Pennsylvania, California, and Texas. Because PA is included in the next phase of the demonstration, RCPA members are encouraged to participate in this ODF.

This ODF will be a Zoom webinar with registration and login instructions below:

Register here in advance for this webinar.
833-568-8864 (Toll Free)
Meeting ID: 160 359 5359
Passcode: 000436

After registering, you will receive a confirmation email containing information about joining the webinar. The presentation will be available on the Review Choice Demonstration for IRF Services web page prior to the call. Feedback and questions on the Review Choice Demonstration for IRF services can be sent via email.