OIG analysis doesn’t bode well for F2F requirement

Friday, April 18, 2014

WASHINGTON – Thirty-two percent of home health claims do not meet face-to-face requirements, according to a study released by the Office of Inspector General (OIG). As a result, $2 billion in payments should not have been made. The report also found that physicians inconsistently completed the narrative portion of the face-to-face documentation and that CMS oversight of the program is minimal. The OIG recommended, and CMS concurred, that CMS should require a standardized form to ensure that physicians include all elements required for the face-to-face documentation; develop a specific strategy to communicate directly with physicians about the face-to-face requirement; and develop other oversight mechanisms for the requirement.