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Addendum to 485 Plan of Care Face-to-Face Encounter ... 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the MR# and Patient Name along with their Date of Birth. Ensure all blanks are completed for accuracy.
  3. In the section certifying the face-to-face encounter, enter the date of the encounter clearly, specifying Month, Day, and Year.
  4. Provide a detailed explanation of why the patient needs to be restricted to home. Use specific diagnoses and examples as needed.
  5. For each service ordered (Nursing, Physical Therapy, Speech Therapy), articulate why care is necessary. Refer to provided examples for guidance.
  6. Ensure that both NP/PA and Physician signatures are included where required, along with printed names and dates.
  7. Once completed, utilize our platform’s features to save or fax the document directly to Athens Regional Home Health at (706)475-5570.

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The face-to-face encounter note/documentation often includes a brief narrative describing the nature of the visit. As such, a head-to-toe assessment, vital signs, medication listing, diagnosis code listing, treatment performed and/or a review of systems assessment is generally present within the note.
The face-to-face encounter must be performed by one of the following: The docHubing physician or a physician, with privileges, who cared for the patient in an acute or post-acute care facility from which the patient was directly admitted to home health.
The CMS regulation at 483.15, F242 protects the resident(s) right to choose to accept food from visitors, family, friends, or other guests (e.g., facility-sponsored activities such as a community pot luck).
The 485 is used to establish the patients treatment plan for the initial certification period and any continued sixty day recertification periods. The 485 can be created on the laptop or desktop computer.
The addendum should be timely, bear the current date, time, and reason for the additional information being added to the health record, and be electronically signed. A correction is a change in the information meant to clarify inaccuracies after the original electronic document has been signed or rendered complete.

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Related links

42 CFR 424.22 - Requirements for home health services.

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