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A: The document must include the date when the physician or allowed NPP saw the patient and a brief narrative composed by the certifying physician who describes how the patient's clinical condition as seen during that encounter supports the patient' home bound status and need for skilled services.
Face-to-face encounters may be performed by the certifying physician. A nurse practitioner or a clinical nurse specialist in consultation with the physician. Or a physician assistant supervised by the physician.
The FTF encounter must be performed by the certifying physician, a physician who cared for the patient in an acute or post-acute facility directly prior to being admitted to home health, and who had privileges at the facility, or a qualified non-physician practitioner (NPP) working in conjunction with the certifying
A: The certifying physician must document that he or she or an allowed non-physician practitioner (NPP) had a face-to-face encounter with the patient. However, the certifying physician must document the encounter and sign the certification.
The Affordable Care Act (ACA) established a face-to-face encounter requirement for certification of eligibility for Medicare home health services, by requiring the certifying physician to document that he or she, or a non-physician practitioner working with the physician, has seen the patient.
A: A discharge summary or discharge plan from an allowed NPP or physician who cared for the patient in an acute or post-acute facility can serve as the face-to-face physician encounter documentation as long as it includes the signature of the certifying physician and the required content.
The Centers for Medicare & Medicaid Services (CMS) has reversed its position requiring Medicare Advantage plans (MA) to apply Medicare Fee-for-Service face-to-face certification requirements to home health services.
The Centers for Medicare & Medicaid Services (CMS) has reversed its position requiring Medicare Advantage plans (MA) to apply Medicare Fee-for-Service face-to-face certification requirements to home health services.
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