tci Part B Insider - 2012 Issue 24

Documentation: Physicians' Face to Face Documentation Continues To Challenge Home Health Agencies

Proposal would allow NPPs to perform inpatient face-to-face visits.A small change to face-to-face (F2F) physician encounter requirements contained in CMS's 2013 PPS proposed rule isn't offering much relief to home health agencies (HHAs) overwhelmed with F2F difficulties.Like in outpatient settings, CMS now wants to allow non-physician practitioners to perform the F2F visit in an inpatient facility. CMS proposes "to allow an NPP in an acute or post-acute facility to perform the face-to-face encounter in collaboration with or under the supervision of the physician who has privileges and cared for the patient in the acute or post-acute facility...

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