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Q: Can a hospital discharge summary be used to fulfill the face-to-face physician encounter documentation requirement?

Homecare Insider Q&A, December 8, 2011

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. Therefore, it is acceptable for the certifying physician or his/her support staff to attach a communication (i.e., discharge summary) from an allowed NPP or hospitalist who cared for the patient in a facility and performed the encounter, to the certification as an addendum as long as the required content is present and the certifying physician signs and dates the communication. This was clarified within the Home Health PPS 2012 Final Rule.