CMS Sends Home Health Reports

The Centers for Medicare & Medicaid Services (CMS) sent physicians Comparative Billing reports on home health services. The reports contain peer comparisons that give you insights into your coding and billing practices through tables and graphs that compare your billing and payment patterns to your peers both statewide and nationally.

Physicians receiving these reports should review the rules for home health certification.

To certify home health services for a patient, you must have (and document) a face-to-face encounter with the patient within 90 days of the start of home health care. In addition to the actual face-to-face visit, the physician must specifically document that the face-to-face encounter has occurred.  This "documentation" must meet specific requirements.

CMS posted a lengthy list of questions and answers about its home health care requirements on its website. TMA's Payment Advocacy Department recommends you review them.

Novitas has additional information on its website.


Action, Sept. 17, 2013


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