tci Part B Insider - 2016 Issue 13

Your F2F Note Must Include These 5 Elements

The agency can’t enter the documentation for you in most cases. Under the new face-to-face documentation requirements that took effect last year, the certifying physician must have clinical records that back up the patient’s eligibility. But any old record isn’t going to cut it. As of January 2015, “the certifying physician’s medical records and/or the acute/post-acute care facility’s medical records (if patient directly admitted to home health) are used as the basis for determining the patient’s eligibility for the Medicare home health benefit,” says HHH Medicare Administrative Contractor CGS in a...

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