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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,
To: the patientâs community setting. TCM is comprised of one required face-to face visit within the specified time frames, in. combination with non-face-to-face services that may be performed by the physician other. qualified health care professional under his/her direction. The first face-to-face visit is part. of the TCM service and is not billed separately; however, additional E&M services after. the first face-to-face visit may be billed separately. Note that providers who administer. services with a 10 or 90 day GSP may not billboth the GSP post service and the TCM. service.