Our Products can help your organization stay educated and compliant. Shop Now >

Insights

CMS Issues Instructions For Medical Review On Home Health Certifications

Posted on Wednesday, July 22, 2015 2:08 PM

CMS has released Transmittal 602, Change Request (CR) 9189, which provides medical review instructions on the certification and recertification requirements for home health services. CR 9189 instructs reviewers that the physician's entire medical record should be reviewed to determine if the eligibility criteria for home health services have been met. The physician's record must include information that supports all the required elements for certification, including the need for skilled service, reason for homebound, and a valid face-to-face (F2F) encounter. Additionally, any documentation from the HHA that is incorporated into the physician's record must corroborate the physician's medical record for the patient and be "signed off" by the physician in a timely manner. Click here to see the CR. Click here to read more.

About Corridor

Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795.

Go Back