202102 Mar
NAHC Receives Clarification on CMS Policies for Home Health Agencies
General News

Earlier this month NAHC reported on responses from the Centers for Medicare & Medicaid Services (CMS) on several key outstanding question. This lead NAHC to conduct an inquiry of the Medicare Administrative Contractors (MACs) regarding which policies are being followed when reviewing for compliance with the F2F encounter. NAHC recently submitted the following question to CMS seeking clarification regarding an apparent conflict in the Medicare Manual related to a who may sign the home health plan of care. The physician must sign and date the plan of care (POC) and the certification prior to the claim being submitted for payment; rubber signature stamps are not acceptable. Our regulations at 42 CFR 424.22(a)(1)(v)(A) require that the physician or allowed practitioner that performed the required face-to-face encounter also sign the certification of eligibility, unless the patient is directly admitted to home health care from an acute or post-acute care facility and the encounter was performed by a physician or allowed practitioner in such setting.

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