Jurisdiction M HHH Home Health Face-to-Face Encounter

Table of Content

• Confusion Around Face-to-Face Documentation Remains for …
• Connect with CMS
• Listing Websites about Home Health Face To Face Requirement
• CMS.gov main menu
• CMS Changes Home Health Face-to-Face Encounter Requirement
• POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")
• Home Health Special Open Door Forum (SODF) Documents

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The new rule would only consider medical records from the patient’s certifying physician or discharging facility. Previously, face-to-face encounter documentation could include notes from multiple encounters that took place with multiple physicians and NPPs during an acute stay. It is uncertain how the new proposal will change this as the proposal does not specify what will constitute sufficient documentation. CMS does not require a specific form or format for the communication or documentation of the face-to-face encounter, regardless if a NPP, certifying physician, or the physician who cared for the patient in the acute or post-acute setting had the face-to-face encounter. What CMS does need to see is that the clinical findings that support the eligibility of the patient for home health are reflective of the patient’s condition upon discharge.

Confusion Around Face-to-Face Documentation Remains for …

The HHA is no longer able to care for Mary since there will be no Medicare payment. This information can be found most often in clinical and progress notes, discharge summaries and comprehensive assessments. The certifying provider must incorporate, by signing and dating, any documentation from the acute/post-acute care or the home health agency that is used for the basis of certification.

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Connect with CMS

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Listing Websites about Home Health Face To Face Requirement

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For instance, Chapter 6 of the Program Integrity Manual states that without a valid encounter and certification at the start of care, there can be no following reimbursement for services for any certification period in a series. Face-to-face encounter documentation remains a pain point for home health providers. When the F2F was first initiated in 2011, agencies were required to document the F2F encounter on a specific form. Many agencies and clinicians remain unaware that that requirement was eliminated by CMS in 2015 and they continue to submit F2F encounter forms as documentation. This oversight can be very costly for many agencies due to unnecessary claim denial. To be eligible for the home health benefit, a physician must certify that the patient meets the following requirements.

CMS.gov main menu

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CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. The face-to-face encounter must occur within 90 days prior to the start of care or 30 days after the SOC. The face-to-face documentation must show the face-to-face encounter occurred within this timeframe. I want a logo designed for my Handcrafted Jewellery and Decor business - Instagram handle - Resinwithmiriam I handmake resin and ceramic products of various natures - Jewelry, accessories, and home-decor.

CMS Changes Home Health Face-to-Face Encounter Requirement

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POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

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Combined with the MD documentation, additional information provided by the agency can significantly help create a much more comprehensive clinical picture. As a condition for payment, the Affordable Care Act mandates that prior to certifying a patient’s eligibility for the home health benefit, the certifying physician must document that he or she, or a qualified nonphysician practitioner , has had a face-to-face encounter with the patient. The home health agencies generated medical record documentation, by itself, is not sufficient in demonstrating the patient's eligibility for the home health benefit. Documentation must correspond to the dates of service being billed and not contradict the certifying physician's and/or the acute/post-acute care facility's own documentation or medical record entries.

The F2F encounter can occur via telehealth, but it must be evident in the documentation that there was real-time interactive communication between the patient and the physician or practitioner using audio equipment. The practitioner can state that he/she observed, thus showing through use of video equipment that the patient was visualized and examined. Documentation stating “telephone only” or “audio only” or that the patient was “not physically examined” will result in an insufficient F2F encounter. This allows for the patient to have a qualifying F2F with the certifying physician sometime within the 30 days after admission to home health services if the patient did not have a F2F prior to admission. Medicare began requiring a home health F2F in 2011 as the result of the Affordable Care Act . The intent of the F2F was to reduce fraud, waste, and abuse by making it a Medicare condition of payment that a physician, or other health care provider, physically meet with patients to assess their specific care needs in person prior to ordering home health services.