Home Health & Hospice Articles by Topic: Face-to-face

What needs to be signed by the physician before we submit under the Review Choice Demonstration?

• Homecare Q&A, Issue 3, March 25, 2020

  The plan of care must be signed by the physician. Keep in mind that the plan of care is more than...

What are some best practices for agencies to prepare for the Review Choice Demonstration (RCD)?

• Homecare Q&A, Issue 9, September 23, 2019

  The most important thing is to tighten up the face-to-face process and get adequate face-to-face...

Create a clinical documentation improvement program to achieve PDGM success

• Homecare Direction, Issue 6, June 6, 2019

  Strong documentation is key in home health, and implementation of the Patient-Driven Groupings...

What about the F2F requirements? Should we treat all payers the same and require the same as Medicare?

• Homecare Q&A, Issue 1, January 16, 2019

  Face to Face is a Conditions of Payment requirement and is required for Medicare and Medicaid.

Year of data show agencies fared poorly in targeted probe and educate

• Homecare Direction, Issue 1, January 4, 2019

  Newly released data show a massive percentage of agencies participating in CMS’ targeted...

What's the best advice you have for an agency that hasn't been through a demonstration like the review choice demo before?

• Homecare Q&A, Issue 17, December 17, 2018

  Choose the pre-claim option.

What led Illinois agencies' improvement in the pre-claim demo?

• Homecare Q&A, Issue 17, December 17, 2018

  Learning and implementing the feedback loop.  

If our hospice needs to discharge and re-admit a patient due to a missing face to face, is it necessary to obtain another verbal cert?

• Homecare Q&A, Issue 15, October 19, 2018

  Yes. All info has to start over again.

Is a home health face-to-face visit required for Medicaid Advantage plans?

• Homecare Q&A, Issue 15, October 19, 2018

  Generally, for Medicaid Advantage, the documentation is that the face-to-face date needs to be on...

Is a home health face-to-face visit required for Medicaid Advantage plans?

• Homecare Q&A, Issue 0, October 19, 2018

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Our agency has had difficulty getting documentation for the F2F requirement from certain physicians. Should we deny the referrals?

• Homecare Q&A, Issue 11, July 15, 2018

  Denying a referral should be a determination based on agency policy and physician...

How do we determine if it's worth it to submit a request for redetermination?

• Homecare Q&A, Issue 11, July 15, 2018

  First step, ask your biller for the remarks that are submitted by the reviewer at the MAC.

Say an agency is starting from scratch on the process of responding to ADRs. What is the first thing that should be put in place?

• Homecare Q&A, Issue 9, May 12, 2018

  First off, know on the front end that the biller is looking for those requested records. Ensure...

When it comes to the face to face requirement, what can/should be done and documented differently when the visit is performed by a nurse practitioner or a physician's assistant?

• Homecare Q&A, Issue 9, May 12, 2018

  Documentation from the non-physician practitioner (NPP) must meet all the required elements for the...

How can we prepare for the pre-claim demo?

• Homecare Q&A, Issue 5, August 3, 2017

  Become more proactive. You no longer can wait for face-to-face documentation to arrive within...

Can you clarify the face-to-face deadlines for hospice?

• Homecare Q&A, Issue 15, August 3, 2016

  CMS requires that a physician narrative be included in a patient’s hospice recertification...

What are some things we should consider regarding the face-to-face encounter when documenting and billing?

• Homecare Q&A, Issue 11, June 3, 2016

  You should consider the following: Develop tracking mechanisms to ensure compliance with...

Is the NPI number required on the face-to-face certification for home health?

• Homecare Q&A, Issue 4, February 18, 2016

  The Centers for Medicare & Medicaid Services (CMS), under CR 8441, states the following:

If a NP or PA completes the face-to-face visit that supports the need for homecare services and homebound status, does the doctor overseeing the NP/PA, have to co-sign their (NP/PA) face-to-face visit?

• Homecare Q&A, Issue 24, December 17, 2015

  From a compliance standpoint for face-to-face and certification signatures, the following can be...

In Focus | Judge Rejects Face-to-Face Lawsuit, but NAHC finds silver lining

• Homecare E-News, Issue 44, November 9, 2015

  Months after NAHC had sued Medicare regarding the face-to-face requirement under the Affordable...

The Weekly Roundup

• Homecare E-News, Issue 43, November 2, 2015

  Final Rule Released After receiving 118 comments from the public, the Centers for Medicare &...

In focus | NAHC submits comments on face-to-face clinical templates

• Homecare E-News, Issue 41, October 19, 2015

  Last Tuesday, NAHC submitted official comments to CMS on a pair of proposed clinical templates (one...

Is it true that the following documentation is an improper certification statement on our home health agency's plan of care?

• Homecare Q&A, Issue 20, October 16, 2015

  Is it true that the following documentation is an improper certification statement on our home...

I have a question regarding the face-to-face requirements for homecare.

• Homecare Q&A, Issue 20, October 16, 2015

  I have a question regarding the face-to-face requirements for homecare...

In focus | NAHC summarizes latest developments on the face-to-face reform front

• Homecare E-News, Issue 40, October 12, 2015

  While awaiting an imminent decision in its lawsuit challenging the validity of the physician...

Is it permissible for a hospital discharge planner to make an entry into a patient hospital record and have the physician sign the entry (to support home health eligibility)?

• Homecare Q&A, Issue 15, August 3, 2015

  Is it permissible for a hospital discharge planner to make an entry into a patient hospital record...

When responding to home health services provided January 1, 2015, and beyond, and we receive an ADR [additional development request] related to LUPA or 5-7 visits, do we need to include face-to-face documents with the ADR information?

• Homecare Q&A, Issue 7, April 3, 2015

   All Medicare patients for whom you bill, regardless of whether they are LUPA, require a...

Will home health remain exempt from overtime compensation in most circumstances like it has for 40 years?

• Homecare Insider, Issue 1, January 5, 2015

  Will home health remain exempt from overtime compensation in most circumstances like it has for 40...