Home Health Referral Form / Face to Face Encounter 2025

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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.
Face-to-face requirement documentation: CMS requires that a physician have a face-to-face encounter with a patient to certify him/her for home care. Clinical documentation of this encounter must include the primary reason the patient requires homecare and attached with the referral.
Face-to-Face Encounter (F2F) Statute. Section 6407 of the Affordable Care Act requires, as a condition for payment, that the certifying physician documents that a face-to-face encounter occurred with the patient.
Face-to-face encounter means direct contact between a beneficiary and a physician/practitioner authorized to certify home care services.
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?
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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 describes an interaction that takes place in person, as opposed to over the phone or online, as in Instead of emailing back and forth, lets meet face-to-face in my office this afternoon. It is also commonly spelled without hyphens, as face to face.

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