Home Health
Home Health
You can use the clinical templates or suggested clinical data elements (CDEs) to assist with documenting the Plan of Care/Certification and face-to-face encounter to support the need for home health services.
Health IT Vendors: To use the suggested CDEs, download or print and use as guidance in creating or enhancing existing electronic clinical templates within your electronic health record (EHR) system.
Providers: To use a printable clinical template, download and/or print the template, complete as applicable and file in the patient’s medical record.
| Type of Documentation | Download |
|---|---|
| Plan of Care / Certification | |
| Version 2 - Home Health Plan of Care / Certification | CDEs (PDF) Draft R2.0 7/9/2018 |
| Template (PDF) Draft R2.0 7/9/2018 | |
| Version 1 - Home Health Plan of Care / Certification | CDEs (PDF) Draft R1.0b 9/5/2017 |
| Template (PDF) Draft R1.0b 9/5/2017 | |
| F2F Encounter | |
| Version 2 - Home Health F2F Encounter | CDEs (PDF) Draft R2.0 7/9/2018 |
| Template (PDF) Draft R2.0 7/9/2018 | |
| Version 1 - Home Health F2F Encounter | CDEs (PDF) Draft R1.0c 2/14/2018 |
| Template (PDF) Draft R1.0d 2/14/2018 |
Read the April 2014 U.S. Department of Health and Human Services Office of Inspector General report, “Limited Compliance with Medicare’s Home Health Face-To-Face Documentation Requirements”.
You can learn more about the conditions for payment for home health agency services at our HHA Center page.
We want to hear from you. Email us your comments and suggestions about regarding these or any other templates and CDEs on this site.
Page Last Modified:
12/01/2021 05:40 PM