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Physician Orders, Plan of Care and Certification

All services provided under the Medicare home health benefit must be ordered by a physician. Three basic requirements for ordering services are:

  • The physician must be enrolled in Medicare;
  • The ordering National Provider Identifier (NPI) must be for an individual physician (not an organizational NPI); and
  • The physician must be of a specialty type that is eligible to order and refer.

Consult the following topics for more specific information on the physician's involvement and the technical components of orders.

Updated: 12.12.19

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