Face-to-Face Progress Note and Home Health Orders 2025

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Signature Requirements The signatures shall be handwritten or electronic. The signature must be legible. The signature must include the credentials of the individual and be dated. Medical record entries completed by a scribe must be authenticated by the treating physician or NPPs signature and date.
The face-to-face encounter must occur within 90 days prior to the start of care (SOC) or 30 days after the SOC. The face-to-face documentation must show the face-to-face encounter occurred within this timeframe. Who Performs and Signs the Face-to-Face Encounter?
The Affordable Care Act (ACA) established a face-to-face encounter requirement for certification of eligibility for Medicare home health services, by requiring the certifying physician to document that he or she, or a non-physician practitioner working with the physician, has seen the patient.
All that needs to be is some mark that represents you. It can be a series of squiggles, a picture, or even the traditional X for people who cant read and write. As long as it records the intent of the parties involved in a contractual agreement, its a valid signature.
The Face-to-Face Evaluation must occur during the six months prior to the written order for each item. Every item subject to Face-to-Face requirements is also subject to mandatory Specific Written Orders prior to delivery.
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CMS regulation states that verbal orders must be dated, timed, and authenticated promptly by the ordering practitioner or by another practitioner who is responsible for the care of the patient. The receiver of a verbal order must date, time, and sign the verbal order in ance with hospital or clinic policy.
The physician (provider) should sign his/her legal signature (full name, including credential). Under Actual Chart Signature, the provider should indicate all possible ways that he/she would sign the medical record (initials, first initial/last name, etc.).
In order to be considered valid for Medicare medical review purposes, your attestation statement must include the following elements: The printed full name of the physician or practitioner. Sufficient information to identify the beneficiary. Date of service. Signature and date by the author of the medical record entry.

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