On the CMS Home Health, Hospice & DME Open Door Forum held today, March 2nd., staff from CMS discussed the use of the HHABN when discharging a patient because there was no F2F encounter within the required time frame. This is a clarification of an earlier policy which said that the HHABN was not to be used in this situation.
Option BOX 2 can be used because the agency is ending services for administrative reasons such as lack of a F2F encounter. It is a change of care notice only and there is no beneficiary liability for the care provided. Further written clarification from CMS will be forthcoming.