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that for the initial ordering of home health services (nursing services and home health aide services), the physician must document that a face-to-face encounter that is related to the primary reason the beneficiary requires home health services occurred no more than 90 days before or 30 days after the start of services. For the initial ordering of medical supplies,
With the face-to-face encounter and attestation requirements, a fourth component has. been added to the certification for patients entering the 3rd or subsequent benefit period. on or after Jan. 1, 2011 â that of ensuring that a face-to-face encounter (and attestation of. that encounter) for the purpose of gathering clinical evidence that supports continuing. hospice eligibility is conducted by a hospice physician or hospice NP within the 30. calendar days prior to new benefit period.