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More About Physician Certification and Plan of Care
More Eligibility Requirements
Home Health Medicare Rules & Regulations
Physician Certification of Care Plan
Established and Approved by a Physician
- The Physician Certification and Plan of Care refers to the HCFA-485 form.
- The Plan of Care (Plan of Treatment) must contain:
- all information pertinent to the patient’s condition
- orders specific to the type of services to be provided
- who will provide the service
- how often the service will be provided
- the length of time the service is to be provided
- Orders for care must be obtained prior to performing the service.
- All orders must be signed before the final bill is submitted to Medicare for payment.
- The Plan of Care requires the attending physician’s signature and is reviewed at least every 60 days
- Services provided after the Plan of Care expires (on the 61st day, after the end date listed on the 485) cannot be considered provided under a Plan of Care.