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tci Medicare Compliance & Reimbursement - 2014 Issue 22

Face To Face: CMS Places Onus of Ensuring Appropriate Documentation On HHAs

F2F here to stay for a while. The face-to-face encounter is necessary to reduce fraud and abuse in home health utilization, says the Centers for Medicare & Medicaid Services (CMS). These problems have decreased since the face-to-face physician encounter requirement took effect, CMS says.  When CMS proposed to eliminate the overwhelmingly troublesome physician narrative F2F requirement in July, home health agencies were overjoyed. But in its place, CMS proposed to “review only the medical record for the patient from the certifying physician or the acute/post-acute care facility (if the patient in that setting was directly admitted to...

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