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FACE TO FACE ENCOUNTER SAMPLE

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Face-to-Face Encounters - Michigan
Face-to-Face Encounter Document Reminders • Must include when (actual date) the physician or NPP saw the patient on the Face-to-Face Encounter document. (If NPP provides encounter, a certifying physician must countersign the document. As per CMS IOM Publication 100-02 , [PDF]
wwwlifehomecare
is/was for the specific purpose of the required Face-to-Face ENCOUNTER Patient Name: DOB: The visit on encounter to authorize Home Health Care. This encounter is within the required time frame of 90 days prior to or 30 days after the Start of Care date, and was conducted by a physician or an allowed non-physician provider (NPP).
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