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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,
The face-to-face encounter for home health and medical supplies, equipment, and appliances may be performed by the physician or certain authorized NPPs. The final rule maintains the role of the physician in ordering Medica id home health services and medical supplies, equipment, and appliances.