Page 104 - CHHA Binder 2.3.20

4/11/2019

Face to Face Encounter (FFE)

 Medicare (or Medicaid) enrolled MD signs that he/she saw the
patient within 90 days prior to, or 30 days after the start of
home care, for the reason that homecare is ordered
 Homecare cannot begin without a signed FFE form
• Exception: Clinical Intake Manager approval

Medicare FFE Requirements Medicaid FFE Requirements
Patient must have a need for intermittent Patient must have a medical need for the
Skilled RN, PT and/or SLP services services ordered

Must be homebound Does not need to be homebound and
services do not need to be provided in
the home
Must have a FFE certification signed and Must have a FFE certification signed and
dated by PECOS enrolled Physician dated by OPRA enrolled Physician
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Knowledge Check:
Medicare Home Care Reimbursement Eligibility

 Homebound
 Service Must be Skilled
 Physician Generated Orders: 485/POC
 Part Time and Intermittent
 Service is Medically Reasonable and Necessary
 FFE must be obtained

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