tci Medicare Compliance & Reimbursement - 2013 Issue 20

Home Health Compliance`: CMS Urged to Enforce Face-to-Face Regs Less Stringently

Confusing and overlapping requirements exceed intent of the law, say commenters. Commenters on the 2014 home health PPS rule seem united in bemoaning the burdens placed by the physician face to face documentation requirements, though they realize that it’s here to stay. The Centers for Medicare & Medicaid Services (CMS) is “mandated by the [Affordable Care Act] to implement the home health F2F physician encounter requirement,” observed MidWest Care Alliance’s Jeff Lycan in MCA’s comment letter. But CMS implemented regulations on the requirement much more strictly than required by Congress in the ACA. For...

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