Home Health & Hospice Week

The pressure is on for HHAs to obtain physician documents quickly.

Getting it right from the start will save you money under pre-claim review, which begins Aug. 1 in one demonstration state and is set to spread quickly.

HHH Medicare Administrative Contractors Palmetto GBA and CGS offer agencies this task list to help them know what required documentation to submit:

• Only for resubmissions — Most Recent Non-Affirmation Letter for This Episode
• Task #1 — The actual F2F clinical encounter note used by the certifying physician to justify the referral for HH services
• Task #2 — The HH generated records that have been signed, dated and incorporated into the certifying physician’s medical records
• Task #3 — The Plan of Care (POC) signed and dated by the certifying physician
• Task #4 — The signed and dated physician’s certification of patient eligibility
• Task #5 — Medical records that meet each HH requirement for Confined to the Home.

Note: See more details about documentation requirements in the MACs’PCR educational workshop slides at http://www.palmettogba.com/Palmetto/Providers.Nsf/files/Workshop_Home_Health_PCR_Workshop_Series.pdf/$File/Workshop_Home_Health_PCR_Workshop_Series.pdf.