On November 2, 2010 The Center for Medicare and Medicaid Services (CMS) published a Final Rule "Changes in Certification Requirements for Home Health Agencies and Hospices."
The Final Rule included a new home health requirement for a Face to Face Encounter during the initial certification.
Face to Face Encounter went into effect on April 1, 2010.
Basically the form certifies that a physician has had an actual face to face encounter with the patient not more than 90 days before or 30 days after the start of care date.
The physician also certifies that the patient is homebound due to normal inability to leave home without considerable and taxing effort.
A patient does not need to be "bedbound" to qualify for home health care.
The physician also states the medical necessity is reasonable and necessary for the diagnosis and treatment of an injury or illness.
CMS rules are clear that the referring physician can sign the F2F, not just the primary care physician (PCP).
F2F is really just a rehashing of the information the referring doctor already has and doesn't have to be difficult or slow the doctor down.
For further questions relating to Face to Face please contact our Transition (Face to Face) Care Coordinator.
Download Your Face to Face form here