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MLN Educational Web Guides

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FAST FACT

Medical Review of Home Health Services


Effective August 11, 2015, Medicare review contractors conducting medical necessity reviews shall review the certification documentation for any episode initiated with the completion of a start-of-care Outcome and Assessment Information Set (OASIS) assessment.  This means that if the subject claim is for a subsequent episode of care, the Home Health Agency (HHA) must submit all certification documentation as well as recertification documentation.  For more information, review the Medicare Learning Network® (MLN) fact sheet  “The Medicare Home Health Benefit” on the CMS website.  To access “The Medicare Home Health Benefit” web-based training (WBT) course, go to MLN Products and click on Web-Based Training (WBT) Courses under the Related Links heading at the bottom of the web page.

 View previous fast facts

Welcome to the Medicare Learning Network® (MLN) Educational Web Guides Overview page, your destination for educational and informational resources related to various CMS initiatives. The MLN Educational Web Guides provides information on Evaluation and Management (E/M) services; guided pathways to resources and topics of interest; lists of health care management products; as well as easy-to-understand billing and coding products.

The left hand column of this page has information on the following:

  • Documentation Guidelines for Evaluation and Management (E/M) Services:  "Evaluation and Management Services Guide" the "1995 Documentation Guidelines for Evaluation and Management Services" and the "1997 Documentation Guidelines for Evaluation and Management Services."
  • Medicare Learning Network® (MLN) Guided Pathways (GPs):  Four resource booklets (Guided Pathways Basic Medicare Resources, Guided Pathways Intermediate Medicare Resources 855A, Guided Pathways Intermediate Medicare Resources 855B, and MLN Guided Pathways Provider Specific Medicare Resources). The Guided Pathways curriculum is designed to allow learners to easily scan and select CMS resources by clicking on topics of interest.
  • Medicare Learning Network® (MLN) Suite of Products and Resources for Educators and Students:  This educational web resource is designed to provide education on products that supplement the health care educational curriculum at technical schools and community colleges.
  • Medicare Learning Network® (MLN) Suite of Products and Resources for Billers and Coders:  This educational web resource is designed to provide education on Medicare Program policies and procedures, accurate claims review and submission, business requirements and federal initiatives and incentives.
  • Medicare Learning Network® (MLN) Suite of Products and Resources for Inpatient Hospitals:  This educational web resource is designed to provide Medicare Part A providers and business management professionals with an understanding of payment systems, fee schedules and reimbursement assistance resources.
  • Medicare Learning Network® (MLN) Suite of Products and Resources for Rural Health Providers:  This educational tool is designed to provide education on the publications and resources for the unique information needs of the rural health community.
  • Medicare Learning Network® (MLN) Suite of Products and Resources for Compliance Officers:  This educational web resource is designed to provide education on many compliance issues facing health care professionals today.

If you would like to contact the MLN, please email us at MLN@cms.hhs.gov.