Paper Writing Services also reviewed guidance documents and policies from CMS or the HH MACs about monitoring the face-to-face requirement. For 32 percent of home

Abstract
eligible for Medicare home health services document—as a condition of payment for home health services—that face-to-face encounters with those beneficiaries occurred. Ts study (1) determined the extent to wch physicians who certified home health care documented the face-to-face encounters, (2) described the nature of face-to-face documentation, and (3) assessed the Centers for Medicare and Medicaid Services’ (CMS) oversight

The Patient Protection and Affordable Care Act (ACA) requires that physicians (or certain practitioners working with them) who certify beneficiaries as eligible for Medicare home health services document—as a condition of payment for home health services—that face-to-face encounters with those beneficiaries occurred. Ts study (1) determined the extent to wch physicians who certified home health care documented the face-to-face encounters, (2) described the nature of face-to-face documentation, and (3) assessed the Centers for Medicare and Medicaid Services’ (CMS) oversight of the face-to-face requirement. We reviewed 644 face-to-face encounter documents to analyze the extent to wch the documents confirmed encounters and contained the required elements. We interviewed the four Home Health and Hospice Medicare Administrative Contractors (HH MACs) to describe how they ensure that home health agencies met the face-to-face encounter requirements. We also reviewed guidance documents and policies from CMS or the HH MACs about monitoring the face-to-face requirement. For 32 percent of home health claims that required face-to-face encounters, the documentation did not meet Medicare requirements, resulting in $2 billion in payments that should not have been made. Furthermore, physicians inconsistently completed the narrative portion of the face-to-face documentation. Some face-to-face documents provide information that, although not required by Medicare, could be useful, such as a printed name for the physician and a list of the home health services needed. CMS oversight of the face-to-face requirement is minimal. QUESTIONS **Please include the questions in your paper. If your Turnitin score is above a 35%, it will result in an automatic 25-point deduction to your final score. Additionally, the professor will review your Turnitin originality report and if warranted, may require student to re-do their entire paper or specific sections of it.

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