Physician Progress Note for Face to Face Encounter and Certification of Eligibility for Home Health Services (Per Medicare regulations, this form cannot be filled out by the home health agency or anyone with a financial relationship to the 2025

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Physician Progress Note for Face to Face Encounter and Certification of Eligibility for Home Health Services (Per Medicare regulations, this form cannot be filled out by the home health agency or anyone with a financial relationship to the Preview on Page 1

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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?
patients eligibility for the benefit. The face-to-face requirement ensures that the orders and certification for. home health services are based on a physicians current knowledge of the. patients clinical condition. In addition to the certifying physician, NPPs who may perform the face-to-face.
Medicare Home Health requirements include the following eligibility items: The patient needs to be homebound. The patient must be under a physicians care. The patient must require medical services and treatment.
Face-to-face refers to a mode of consultation where the clinician and patient (and carer) are physically present in the same location, allowing for the assessment of the patients body language, non-verbal communication, and facial expressions, as well as the opportunity to undertake physical examination.
There must be a normal inability to leave home and leaving home must require a considerable and taxing effort, which means leaving is physically difficult or requires frequent rest breaks during the activity or prolonged recovery after the outing.
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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.
Face-to-face encounter means direct contact between a beneficiary and a physician/practitioner authorized to certify home care services.
Submitting a Discharge Summary For this reason, a Discharge Summary may be considered a face-to-face visit with an acceptable physician provider type for the date of discharge that is indicated on the Discharge Summary and Medical Record Coversheet.

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