lookup Detail

Topic HH
Category Plan of Care/Certification/ Recertification
Code HH02E
Statement The physician certification/recertification submitted does not support skilled need. Documentation in the certifying physician's medical records and/or the acute/post- acute care facility's medical records (if the patient was directly admitted to home health) shall be used as the basis for certification of home health eligibility. Refer to CMS IOM Publication 100-02, Chapter 7, Section 30.5 and 42CFR 424.22 (a) and (c).