Regulations:
F2F Clarifications To Ease Denials
Published on Wed Nov 16, 2011
If your claims were denied for these F2F errors, submit them for reopenings. Now you've got it straight from the horse's mouth that you shouldn't receive denials for face-toface reasons when your patient's record fails to document the hand-off of care from the facility to the community physician. HHH Medicare Administrative Contractor NHIC said in a recent provider meeting that the Centers for Medicare & Medicaid Services had instructed MACs to not issue denials when the hand-off isn't documented, in cases where the hospital physician signs the F2F documentation and the community physician signs the plan of care (see Eli's HCW, Vol. XX, No. 43, p. 343). Now CMS has confirmed that information in a Dec. 9 e-mail to providers. "It has come to our attention that some contractors are denying claims for failure of the acute or post-acute physician to identify the community physician who will assume care for [...]