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eSolutions and Homecare Homebase Collaborate to Ease Reimbursement Challenges of Review Choice Demonstration

eSolutions Inc., a leading healthcare technology company, and Homecare Homebase (HCHB), the nation’s top software for home-based care, have collaborated to help home health agencies (HHAs) manage Centers for Medicare and Medicaid Services’ (CMS) Review Choice Demonstration (RCD). CMS began rolling out RCD to designated states in the Palmetto GBA region last year to help ensure that proper payments are made at the right time for home health service through either pre-claim, pre-payment or post-payment review. The demonstration aims to protect Medicare funding from improper payments, reduce the number of Medicare appeals, and improve provider compliance with Medicare program requirements. With the goal of easing the reimbursement challenges of RCD, HCHB worked with eSolutions to integrate electronic submission capabilities into the PCR console. The new feature, now available within HCHB, allows HHAs to submit pre-claim review documentation packets through a HIPAA-compliant interface in as little as five minutes to satisfy the pre-claim review option of RCD and avoid the highly manual process of submitting required documentation through Palmetto GBA’s online portal.