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CMS Provides Compliance Tip Sheet for Home Health Agencies and Physicians

Posted on Monday, December 23, 2019 1:49 PM

CMS has published an MLN Fact Sheet titled “Provider Compliance Tips for Home Health Services (Part A Non-DRG).  CMS created the sheet because “Insufficient documentation accounted for a large proportion of improper payments for home health services. The primary reason for these errors was that the documentation to support the certification of home health eligibility requirements was missing or insufficient. Medicare coverage of home health services requires physician certification of the beneficiary’s eligibility for the home health benefit.”

The tip sheet is designed for physicians who refer beneficiaries to home health, order home health services, certify beneficiaries’ eligibility for the Medicare home health benefit; home health agencies; and non-physician practitioners. It outlines the requirements for the physician certification including the face-to-face component.

Click here to access the Fact Sheet.


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