Federal Government: Reimbursement

Find the lastest updates and guidance on Medicare reimbursment

Face-to-Face Encounter Repeal Sought

Despite efforts to continue the industry-secured delay in the implementation of the Medicare home health physician face-to-face requirement, the Centers for Medicare & Medicaid Services (CMS) has refused to change the April 1, 2011 effective date.  HCP, the National Association for Home Care & Hospice (NAHC) and other industry statekholders are seeking the delay and/or repeal of the requirement as it is a barrier to care.  Your assistance in tracking the impact of this requirement is appreciated.

PECOS Enrollment Requirement Delayed

As reported in the HCP Insider, a provision in the Patient Protection Affordable Care Act that prohibits physicians who have not enrolled in the Medicare Provider Enrollment, Chain and Ownership System (PECOS) as participating, non-participating or opted-out physicians from ordering or referring patients for Medicare covered home health services has been delayed.  Despite the delay. It is still important for agencies to alert ordering physicians about this requirement.  The following sample letters can be used:

National Government Services

NGS is the Regional Home Health Intermediary for New York. Information regarding Medicare home health and hospice data and submission can be found here.

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