Home Health face-to-face note now in WebCIS

A new “face-to-face” note is available in the WebCIS discharge summary to indicate that care instructions were given to a home health patient.

When a physician completes this form at discharge from the hospital or referral from a clinic, the requirement has been completed. A reminder will be present on discharge summaries to fill out this form when appropriate.

Please make every effort to complete this form in WebCIS. UNC Home Health and Rex Home Services cannot bill for Medicare patients who do not have the appropriate documentation for completed face-to-face encounters.  This note is provided in WebCIS because effective April 1, 2011, Medicare requires all physicians to certify that they, or a Nurse Practitioner acting on their behalf, have had a face-to-face encounter with home health patients.

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The following message was sent to UNC clinicians on March 11, 2011

This message is sent on behalf of Tammie Stanton, Vice President for Post Acute Services for the UNC Health Care System

Effective April 1, 2011, Medicare will require all physicians to certify that they, or a Nurse Practitioner acting on their behalf, have had a face-to-face encounter with home health patients. UNC Home Health and Rex Home Services will not be able to bill for Medicare patients who do not have the appropriate documentation for completed face-to-face encounters.

Medicare patients make up about 60-70 percent of all UNC Home Health and Rex Home Services patients. UNC Home Health and Rex Home Services currently have approximately 500 patients enrolled in their program.

Physicians are required to certify/provide the following information for each patient, within the 90 days prior to the start of home health care, or within the 30 days after the start of care.

  • The patient is under their care
  • The physician, or a nurse practitioner or physician’s assistant, had a face-to-face encounter with the patient on a particular date
  • The primary reason the patient needs home health services
  • The particular home health services are medically necessary for the patient
  • Explain how their clinical findings support the need for home health services

 

UNC Home Health and Rex Home Services have provided a face-to-face encounter form and guide for completion for all physicians to use. This information is available on the Intranet at http://intranet.unchealthcare.org/physicians/unc_physicians_newsletters/home-health-and-hospice

The signing of Home Health orders and completion of the face-to-face documentation can also be completed electronically through the use of the Allscripts Home Health Physician Portal.  The portal can be access through a hyperlink in WEBCIS and can quickly be set up for use upon request.

Please contact Larry Costa if you have any questions about the new requirement or if you do not currently have access to the Home Health Physician Portal. He can be reached at icosta@unch.unc.edu or (919) 966-4915.

More information can also be found on the CMS website, at http://www.cms.gov/HomeHealthPPS/.

CMS also reimburses physicians for each signed home health certification and recertification order. Current physician reimbursement is $50.97 for each certification order and $38.72 for each recertification order.

About UNC Home Health

UNC Home Health and Rex Home Services are Medicare certified; Joint Commission accredited home health agencies. UNC Home Health serves patients in Orange, Durham, Alamance, Chatham, and Lee counties.  Rex Home Services covers Wake and portions of Johnston, Franklin, and Harnett counties.  Mid Carolina currently services 32 counties.  UNC now owns 100% of Mid Carolina and has had a management agreement in place since January 2000 to manage Rex Home Services.

For more information, please visit http://www.unchealthcare.org/site/home_health.

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