Our audit reviews continue to reveal the same key issues: eligibility, certification, and documentation. Medicare home health coverage isn’t just about providing care—it’s about clearly demonstrating the medical necessity through accurate and timely records. Home Health Eligibility: All Criteria Must Be MetTo qualify for Medicare home health services, the patient must: Plan of Care (POC)…
Tag: F2F
Home Health RCD Top 5 Non-Affirmation and Claim Denial Reasons
Review Choice Demonstration (RCD) did not add any new requirements, but home health agencies are still struggling with the Face-to-Face (F2F) and getting an affirmation. Agencies need to remember that the F2F documentation must be “related” to the primary diagnosis (the primary reason for home care) and must be timely. This means that the encounter…
