Legislation Introduced To Change Home Health Face to Face Requirements

Members | June 25, 2015

Sen. Robert Menendez (D-NJ) and Sen. Pat Roberts (R-KS) introduced the Home Health Documentation and Program Improvement Act of 2015 (S. 1650), a bipartisan bill that would make changes to Medicare’s home health face-to-face encounter requirements.

Sen. Robert Menendez (D-NJ) and Sen. Pat Roberts (R-KS) introduced the Home Health Documentation and Program Improvement Act of 2015 (S. 1650), a bipartisan bill that would make changes to Medicare’s home health face-to-face encounter requirements.

If passed, the legislation would:

  • Require the Centers for Medicare and Medicaid Services (CMS) to accept forms completed by the home health agencies that are reviewed and signed by the referring physician.
  • Exempt home health agencies from collecting documentation for beneficiaries who have been discharged from a hospital or skilled nursing facility within 14 days prior to the initiation of such home health services.

  • Provide a mechanism for home health agencies to resubmit claims that were denied solely due to compliance issues with the face-to-face documentation requirements for reprocessing as though the face-to-face narrative requirements of did not apply at the time.

CMS addressed a number of concerns about the home health face to face encounter in the CY 2015 Home Health Rule

There still remains some sections of the face to face requirement that are costly to implement and could result in delays to initiating home health services. 

This legislation was referred to the U.S. Senate Finance Committee.