tci Medicare Compliance & Reimbursement - 2015 Issue 19

Industry Note: Submit F2F for All Reviewed Claims -- Even Recerts

Don’t forget that medical reviewers will be poring over your claims for face-to-face documentation — even for recertifications. “Effective for dates of service on or after August 11, 2015, when a claim is selected for medical review, providers will be required to submit all certification documentation as well as recertification documentation,” Home Health & Hospice Medicare Administrative Contractor CGS says on its website. “CGS will review the initial certification and face-to-face documentation with every claim including a recertification.” You may want to consider using the voluntary form for face-to-face physician encounters, issued by CMS...

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