Categories FAQ

Question: Who Can Do The Face To Face Visit On A Hospice Patient?

Who can perform a face-to-face encounter?

Certain NPPs or the physician who cared for the patient in an acute or post-acute facility may perform the face-to-face encounter and inform the certifying physician regarding the clinical findings exhibited by the patient during the encounter.

Does Medicaid require face-to-face for Hospice?

If you are expected to reach the third period of care, and you are eligible for both Medicaid and Medicare, the hospice physician is required to meet you in person (this is called a face-to-face visit).

What is a face-to-face encounter?

The Affordable Care Act (ACA) established a face-to-face encounter requirement for certification of eligibility for Medicare home health services, by requiring the certifying physician to document that he or she, or a non-physician practitioner working with the physician, has seen the patient.

Do Medicare Advantage plans require a face-to-face encounter?

Yes. Before certifying a patient’s eligibility for the home health benefit, the certifying physician must document that they or an allowed non-physician practitioner has had a face-to-face encounter with the patient related to the primary reason for the home health admission.

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What does under the care of a physician mean?

: being treated by a doctor He is under a doctor’s care.

Can a nurse practitioner sign home health orders in Florida?

Section 3708 of the CARES Act permanently authorizes nurse practitioners (NPs) to certify for Medicare and Medicaid home health care services in accordance with state law.

Who pays for hospice care at home?

Government programs. Medicare covers hospice care costs through the Medicare Hospice Benefit. See www.medicare.gov/coverage/hospicecare. Veterans’ Administration (VA) benefits also cover hospice care.

What is a hospice benefit period?

A benefit period starts the day you begin to get hospice care, and it ends when your 90-day or 60-day benefit period ends. At the start of the first 90-day benefit period, your hospice doctor and your regular doctor (if you have one) must certify that you’re terminally ill (with a life expectancy of 6 months or less).

How long does Medicaid pay for hospice?

In most states, Medicaid participants are eligible to receive hospice care when they have been diagnosed with a terminal illness with a medical prognosis of less than six months to live if the illness runs its normal course. Medicaid coverage can be used alongside the patient’s existing Medicare coverage.

Is telehealth considered face-to-face?

Telehealth can count as a face-to-face encounter under certain conditions. Medicare rules specifically allow telehealth encounters to substitute for in-person visits to certify the need for home health care and DME.

Which of the following may certify a Medicare plan of care?

CMS considers a referral from a physician/non-physician provider (NPP) or the Plan of Care (POC) as the best ways to demonstrate physician involvement. CMS says either a physician/NPP or physical therapist can establish the POC but if the therapist does it then physician/NPP must approve of the plan.

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Does United Healthcare pay for in home care?

United Healthcare Insurance to Pay for In-Home Care

Long term care policies are also a good source for in-home care coverage. Those covered typically have access to home health care aides in addition to skilled medical care for in-home physical, speech or occupational therapy.

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