Home Health Face-to-Face FTF Encounter

Table of Content

• Ways to Transform Triage Through Actionable Data, Intelligent Resourcing, and Faster Response Times
• How The Rural Add-On Payments Changed Where Home Health Services Were Delivered
• Health
• Medicare Home Health Face-to-Face Requirement
• Medicare Home Health Face-to-Face Requirement ACP
• Understanding Medicare Face-To-Face (F2F) Requirements for Home Health
• Medicare Home Health Face-to-Face Requirement - hhs.gov

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Ways to Transform Triage Through Actionable Data, Intelligent Resourcing, and Faster Response Times

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If you are a health care firm, please share information on our program and our website with your local insurance agent; they can quickly access our program on your behalf to obtain a competitive quote. Referral documents state the patient is being referred to home health for Dementia. Dementia is clearly addressed on the F2F, along with additional comorbidities including Parkinson’s Disease.

How The Rural Add-On Payments Changed Where Home Health Services Were Delivered

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The HHA sends a request to both the hospitalist and the primary care physician for additional information. CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA.

Health

Delay submission of the final claim until all FTF requirements and documentation is met. A federal government website managed and paid for by the U.S. As of March 1, 2020, telehealth was expanded to remove the limitation of access and location to all. The encounter must be in real time and utilize two-way audio and visual components.

Facility/Hospitalist physician is a physician who cares for the patient in an acute or post-acute facility directly prior to the home health admission, and who has privileges at the facility. Although the facility/hospitalist physician may initiate home health care orders/POC and certify the patient’s eligibility, they are expected to collaborate with the patient’s community physician so that they can assume primary care responsibility for the patient upon discharge. Knowing what is required for a F2F will help agencies develop a step-by-step internal process to secure a patient’s certification of eligibility for Medicare home health benefits.

Medicare Home Health Face-to-Face Requirement

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.

It’s no secret that face-to-face documentation is one of the top reasons Medicare denies home health claims. The rules and regulations around F2F are often perceived as inconsistent, and even those of us who deal with it day in and day out can find it challenging to help an agency operationalize the F2F requirements in a way that assures they are compliant with Medicare guidelines. The HHA needs certain pieces of information to bill Medicare for the Home Health services provided. The requirements are listed in the CMS Internet Only Manual Publication , Medicare Benefit Policy Manual, Chapter 7, Section 30.

This rule also aligns the timeframes for the face-to-face encounter with similar regulatory requirements for Medicare home health services. In addition, this rule amends the definitions of medical supplies, equipment, and appliances. We expect minimal impact with the implementation of section 6407 of the Affordable Care Act and section 504 of MACRA. We recognize that states may have budgetary implications as a result of the amended definitions of medical supplies, equipment and appliances. Specifically, this rule may expand coverage of medical supplies, equipment and appliances under the home health benefit. There will be items that had previously only been offered under certain sections of the Act that will now be covered under the home health benefit.

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