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that for the initial ordering of home health services (nursing services and home health aide services), the physician must document that a face-to-face encounter that is related to the primary reason the beneficiary requires home health services occurred no more than 90 days before or 30 days after the start of services. For the initial ordering of medical supplies,
FaceâtoâFaceEncounters and Certification for Home Health Care and Physician Documentation Requirements DearPhysician: Youplay a key role in documenting eligibility and medical necessity for home health care for Medicare beneficiaries. If you certify the need for home health care for any of your patients, we encourage you to reviewthis article carefully. As a physician, you are responsible for providing appropriate, accurate supporting documentationof your faceâtoâface (FTF) encounters with your patients regarding home health care and certification of need. Medicare provides payment for physician initial and re â certification of Medicareâcoveredhome health services under a home health plan of care (G0180 and G0179).