Get Face To Face Encounter

Completing the Face to Face Encounter form is essential for documenting healthcare services and ensuring eligibility for home health care. This guide provides step-by-step instructions for filling out the form accurately and efficiently.

Follow the steps to complete the Face to Face Encounter online.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Fill in the Face-to-Face Encounter Date: Enter the date when the face-to-face encounter occurred, ensuring it is within 90 days prior to or 30 days after the start of home health services. If the date provided is incorrect, strike through the incorrect date, write the correct date clearly, and initial beside it.
3. Complete the Face-to-Face Encounter Performed By section: Write the full name of the physician or non-physician practitioner (such as a nurse practitioner or physician assistant) who conducted the encounter.
4. Identify the medical condition related to the home health care: Clearly state the primary medical condition that necessitates home health services, using specific terms like CHF, COPD, or Diabetes, among others.
5. Certify the medically necessary home health services: Check all applicable services that are deemed necessary for the patient. Note that physicians signing the plan of care are not required to fill out this section.
6. Provide an explanation of clinical findings: Include information on how the findings from the face-to-face encounter support the patient's homebound status, mentioning details such as efforts required for absence from home and medical restrictions.
7. Document the need for intermittent skilled nursing or therapy services: Write detailed descriptions from the encounter that support the necessity for ordered services, such as skilled nursing assessments or therapies for recovery.
8. Physician signature required: Only the physician may sign here, along with the handwritten date. Ensure that no signature stamps are used.
9. After completing the form, review all entries for accuracy. Save changes, download, print, or share the form as needed to finalize the process.

Begin completing the Face to Face Encounter form online today to ensure effective documentation and timely access to home health services.