Physician's Choice Homecare Referrals

Medicare Home Health Face To Face Encounter Requirement
On April 1, 2011, all patients needing Medicare reimbursed home health care services will be required to have a documented face to face encounter with an eligible health care provider within the 90 day period before or 30 days after the initiation of needed home health care services. The purpose of this mandate is to assure that the order for home care is based on current knowledge of the patient’s condition. This encounter may be with a certifying physician or other allowable non physician provider (NPP) such as a nurse practitioner who is practicing in accordance with state law. The definition of an “allowable nurse practitioner” is the same as that used for standard nurse practitioner reimbursement under Part B Medicare. However, under this new requirement, a physician must document that he or she, or an allowed NPP has had a face to face encounter with the patient in this time frame. This provision does not change the regulatory requirement that a physician must order the service, but does allow a nurse practitioner to provide the required encounter with documentation from the physician that the encounter occurred.
If you are a physician you can use the attached interactive PDF form to make a referral or schedule our services.
You can complete the information directly on the form, save it to your computer and email it to us as an attachment or print it out and mail or fax it to us.
Click here to open our Referral Sheet
We Accept the Following Insurance
Medicare/Palmetto & Medicare Advantage Plans: Star Plus Program: Superior Health Plans
Humana Gold Star Plus Program: Molina Healthcare
Pyramid Life Wellcare
Aetna Medicare Advantage United Health Care
BCBS Smart Value Secure Horizons
Sterling Life Insurance Company Evercare Solutions
HealthSpring PacifiCare (A United Health Care Company)
Medicaid: Traditional Care Improvement Plus
AARP Humana

7th Consecutive year!!!!!!!