Page 76 - CHHA Binder 2.3.20

4/11/2019

Face to Face Encounter (FFE): Why did
CMS implement this law?

According to the  Affirms home health care based on
Patient Protection physician examination of the patient.
Affordable Care Act  Assures that the physician’s order is
the law… based on current knowledge of the
patient’s condition.
Note: As of July1,2017,  Encourages greater involvement of
applies to Medicaid as the physician in the patient’s
well as Medicare.
homecare services.
Medicare FFE Requirements Medicaid FFE Requirements
Patient must have a need for intermittent Skilled Patient must have a medical need for the
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 dated by Must have a FFE certification signed and
PECOS enrolled Physician dated by OPRA enrolled Physician 15

Quality Measures

Quality measures are based on information collected from the CMS-
mandated Outcome and Assessment Information Set (OASIS)

The 12 quality measures include:
• 3 measures related to mobility
• 4 measures related to meeting basic ADLs

• 3 measures related to medical emergencies, such as:
o Readmission to the hospital
o Requiring unplanned medical care
o Unplanned medical care specifically related to a wound
• 2 measures related to how home care ends such as:
o Patients who stay at home after discharge from homecare
o Patients whose wounds improved after surgery

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