Physician/Client Face-to-Face Encounter Requirements for Home Health Services Clarified


CMS has issued Transmittal 139 to the Medicare Benefit Policy Manual dated February 16, 2011, clarifying the provisions requiring face-to-face encounters between the certifying physician and the home health patient. The new requirements in Transmittal 139 will be implemented March 10, 2011. In order for a patient to be certified to receive home health services, a physician must certify that the home health services are needed because the patient is confined to the home. For home health care services starting after January 1, 2011, the physician must document that he or an allowed non-physician practitioner (“NPP”) has had a face-to-face encounter with the patient. The face-to-face encounter must occur no more than 90 days prior to the home health start of care date or within 30 days after the start of care.

Although certain NPPs may perform the face-to-face encounter and inform the certifying physician regarding the clinical findings exhibited by the patient during the encounter, the certifying physician must document the encounter and sign the certification. The NPPs who are allowed to perform the face-to-face encounter are...

Please see full alert below for more information.

LOADING PDF: If there are any problems, click here to download the file.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Jackson Walker | Attorney Advertising

Written by:


Jackson Walker on:

JD Supra Readers' Choice 2016 Awards
Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*By using the service, you signify your acceptance of JD Supra's Privacy Policy.

Already signed up? Log in here

*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.