tci Part B Insider - 2019 Issue Q3

Physician Note: MAC Warns Physicians About Home Health Referrals

When referring Medicare beneficiaries for home health care, it’s all in the details. In a recent release, one Medicare Administrative Contractor (MAC) reminds physicians of their substantial referral responsibilities, but also may be scaring them out of making referrals at all. Palmetto GBA walks physicians and referring medical facilities through the documentation requirements for patients referred to home health agencies in a recent article on its website titled “Home Health Referrals.” The description ranges from homebound status to intermittent skilled services to face-to-face documentation. But: The article also contains this bold-face warning to docs: “You...

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