OMB control number

Medicare Program/Home Health Prospective Payment System Rate Update for CY2010: Physician Narrative Requirement, CY2011 Final Physician Face-to-Face Encounter

OMB 0938-1083 · HHS/CMS.

OMB 0938-1083

The Centers for Medicare and Medicaid Services (CMS) require that a physician document the date of the face-to-face encounter and sign every patient's individual plan of care certifying or recertifying that the patient is homebound and the planned services are medically necessary in order for the home health agency to be reimbursed for Medicare covered services as stipulated in 42 CFR 424.22.

The latest form for Medicare Program/Home Health Prospective Payment System Rate Update for CY2010: Physician Narrative Requirement, CY2011 Final Physician Face-to-Face Encounter expires 2020-08-31 and is listed under ICR 201703-0938-017.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201703-0938-017 Revision of a currently approved collection 2017-03-24 Approved with change
201703-0938-015 Extension without change of a currently approved collection 2017-03-23 Improperly submitted and continue
201612-0938-005 Extension without change of a currently approved collection 2016-12-23 Improperly submitted and continue
201312-0938-020 Extension without change of a currently approved collection 2013-12-24 Approved without change
201012-0938-009 Revision of a currently approved collection 2010-12-15 Approved without change
201007-0938-012 Revision of a currently approved collection 2010-07-23 Comment filed on proposed rule and continue
201002-0938-001 New collection (Request for a new OMB Control Number) 2010-02-03 Approved without change

OMB Details

Physician's Burden for Form Completion, Elimination of Narrative Requirement 424.22

Federal Enterprise Architecture: Health - Health Care Services