Face-to-Face Medical Review Warning for Home Health

Probe and Educate Edits for Face-to-Face Encounter Requirements.
On November 17, 2015, the Centers for Medicare and Medicaid Services (CMS) posted an updated notice on its website advising the public of instructions given to its Medicare Administrative Contractors (MAC) to conduct Probe and Educate edits of home health agencies across the country. The purpose of the Face-to-Face Medical Review edits is to determine if providers understand and are compliant with the home health certification requirements,

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Home Health Face-to-Face Encounter Documentation Requirements: Denials Survey

Home Health Face-to-Face Encounter Documentation Requirements
Recently, two CMS contractors announced widespread edits of home health providers focusing on the face-to-face encounter documentation requirements.  These contractors now expect physicians to write detailed descriptions of a patient’s condition to support the need for skilled services and homebound status.
National Association of Home Care (NAHC) will once again be presenting a case to CMS that the more stringent face-to-face requirement guidelines is putting home health agencies in an in indefensible position. 

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Hospice Blog Series Part 3 | Hospice Face-to-Face Encounters

Hospice Face-to-Face Encounters Update.
One year into hospice face-to-face encounters, and while we all have a better understanding of the requirements, the effort and pardon me, but downright drama it can take to get them completed is still more than I think we’d all like.
As you know as of 1/1/11 CMS implemented a requirement that necessitated patients on the Medicare hospice benefit have hospice face-to-face encounters within 30 days prior to the 180th day recertification (or third benefit period). 

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New Legislation Complicates Home Health Care for Medicare Patients

Medicare Patients Home Health Face-to-Face Rule.
Physicians are disturbed by new Medicare mandates demanding lengthy justifications describing Medicare patients’ qualifications for Home Health Care and Hospice Care under Medicare coverage standards, according to a new survey.
Conducted by the independent polling firm, Fabrizio, Ward & Associates, results from this National Association for Home Care and Hospice (NAHC) poll show physicians believe this new Medicare rule will create destructive bottlenecks in the system it has been purportedly fighting to simplify.

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Home Health Requirements Reform From Senators

57 Senators Urge CMS To Reduce Paperwork Burden For Face-To-Face Home Health Requirement.
HEALTHCAREfirst, Inc., provider of leading-edge home health care and hospice technologies, has been monitoring the flood of news recently with reports of Senators attempting to reduce the amount of paperwork involving the face-to-face home health requirement.

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