Medicare home health plays a vital role in allowing patients to receive care at home as an alternative to extended hospital or nursing home care. If you or your loved one are planning to use a Home Healthcare Agency (HHA), make sure that the home health agency is licensed and certified by Medicare. Please note that all agencies providing personal care and companion care at home may not be eligible for home health care reimbursement from Medicare.
There are stringent guidelines and rules to follow when utilizing HHA services. Following is a document in Powerpoint format with Home Health face-to-face guidance provided by Medicare (CMS / HHS).
Agencies proving Home Health for reimbursement by Medicare should follow the guidelines regarding the face-to-face requirements for certified physicians. A physician must order Medicare home health services and must certify a patient’s eligibility for the benefit.
Prior to certifying a patient’s eligibility for the home health benefit, the certifying physician must document that he or she, or an allowed nonphysician practitioner (NPP) has had a face-to-face encounter with the patient.
These requirements are mandated by Affordable Care Act (ACA).