Face To Face

smcwhorter@ouachitamedcenter.comsmcwhorter@ouachitamedcenter.com
edited May 2017 in Oasis General
Would anyone be willing to share their tools or processes for successful
physician face to face documents. Ours have always been OK in the past.
The burden of documentation seems solely on the physician now? How in this
age of hospitalists and multi-specialists are you getting this done?
Denials have been mostly hospital focused but some are office focused.

Thank you !



Sharon McWhorter

Doctors Home Care

Phone: (870) 836-1301

Fax: (870) 836-1371

smcwhorter@ouachitamedcenter.com

Comments

  • LRaether@marquardtvillage.orgLRaether@marquardtvillage.org
    edited May 2017
    We use the attached document which is part of our software and generates only when a Face 2 Face is required.
  • jbush@hcmc-tn.orgjbush@hcmc-tn.org
    edited May 2017
    A F2F Attestation by itself will not meet the F2F requirements it must be in addition to documentation from the patient's medical record either hospital record or physician's office record that confirms documentation of medical necessity and homebound status. We have submitted narrative F2F forms completed by the hospitalist with the patient's discharge summary and progress notes from the patient's hospital chart, including documentation of hand off to the patient's PCP and we are still being denied for "the physician certification was invalid since the required F2F encounter was missing/incomplete/untimely". The F2F was not missing, incomplete or untimely so someone please tell me what does it take to get Palmetto to pay our claim?

    Jackie Bush, RN, MBA, CPHQ, COS-C
    Director of HCMC HH & Hospice
    311 E. Wood St.
    Paris, TN. 38242
    731-642-7600 (P) * 731-644-9639 (F)
  • aidatacan2002@yahoo.comaidatacan2002@yahoo.com
    edited May 2017
    Are you lucky enough to get what in particular they are looking for
  • CoderKCoderK
    edited May 2017
    Jackie, are you writing F2F on the pages of the documentation you are using as F2F? I only do the physician/hospital documentation, don't even use another form anymore and haven't ever been denied. But I'm CGS also... I'd fight it.

    Oh, I also do a cover sheet spelling out everything, then color tab everything with what is what. Underlining (as permitted) to show the relevant info for skilled need and homebound status. Example:

    HOMEBOUND STATUS:

    * See attached MD office visit note dated 1/1/17, 3rd paragraph, see underlined portion.
    * See Oasis assessment pages. X, x, x ; M0 items xxxx
    * See PT evaluation dated 1/2/17 and see underlined narratives and * or < to the side of info relevant.
    * See MD discharge summary dated 12/29/16 see pg. 2, paragraph 3, underlined.



    I do the same for each topic I need to send in/address. Haven't gotten a denial yet. Takes some time but well worth it.



    ~KellyR
  • lkeenan@spcaa.orglkeenan@spcaa.org
    edited May 2017
    That is dedication and well worth the effort!

    Have a blessed day
    Lisa
  • dpcrr@yahoo.comdpcrr@yahoo.com
    edited May 2017
    I have not gone to the lengths that Kelly has-- but that may be the best
    approach. I do put "Face To Face page 1 of __" at the top of page 1. Then
    the others are "Addendum to F2F pg __ of __". It it is obscure, I draw
    attention to the support.

    Keep in mind that Palmetto sees an abundance of paper/computerised images
    go through their systems. I have had "educators" try to explain why we got
    denials since material was not sent in. I would say please look at page X,
    and they could see it was there. I include a list of everything that is in
    my packet-- or if they have sent a list I put it in the order they have
    requested.

    Hopefully, the new directors of CMS and HHS will change the regulations to
    be in conformity with the law. But don't count on that. We are still a
    small fish in the ocean of financial trouble.

    Daniel P. Clark, RN
Sign In or Register to comment.