F2F Lawsuit Goes to Court

The National Association of Home Care & Hospice’s (NAHC) lawsuit regarding the Medicare face-to-face regulation had its day in court on August 6th.  The NAHC lawsuit challenged the validity of the physician narrative as documentation that the F2F requirement had been met.  NAHC’s VP of Law William Dombi argued that Congress intended the F2F requirement as a program integrity measure, but never intended that homebound seniors would be denied coverage for services for which they were clearly eligible.

The lawsuit seeks relief for home care agencies for over $200 million in claims denied for what CMS considered “insufficient” F2F documentation. Much of the court arguments focused on the meaning of the word “documentation.” Read the NAHC Report for a more detailed update.