Face to Face
Face to Face/PDGM
100

Yes or No

Face to Face is needed for all payer types

No

100

What is PDGM?

Patient Driven Groupings Model

200

Which encounter is the best Face to Face visit if the patient came from the hospital/SNF?

Discharge Summary

200

True of False

A Telephone Appointment can be used as a Face to Face visit.

False

300

Yes or No

Face to Face is needed for a Medical patient.

Yes

300

An active Home Health/Palliative patient was transferred to the hospital and transferred to the SNF. You receive a referral to resume the patient? 

Do you process this referral as a ROC or SOC? 

Start of Care

400

What do you do if there is no valid Face to Face visit?

Escalate to Clinical Supervisor

400

Yes or No

If there is no face to face visit, send a verbal order to a referring physician without face to face visit date

No

500

What are the time frames for a valid Home Health/Palliative Care Face to Face?

90 days prior to SOC and 30 days after SOC.

500

Which provider types are allowed to do Face to Face visits?

Physician, Physician's Assistant and Nurse Practitioner.