Continuation of the Home Health Probe and Educate Medical Review Strategy
MACs, in conjunction with the Centers for Medicare & Medicaid Services (CMS), will be
conducting Round 2 of medical review and reporting under the Home Health Probe &
Educate medical review strategy. These reviews relate to claims submitted by HHAs related
to Medicare home health services and patient eligibility (certification/re-certification), as
outlined in CMS-1611-F. Final rule CMS-1611-F eliminates the face-to-face encounter narrative as part of the
certification of patient eligibility for home health services.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 16, 2016
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