Homewww.22hhh.com

Thehomehealthface-to-face(FTF)encountermustoccurwithin90dayspriortotheStartofCare(SOC)or30daysaftertheSOC.
ThistoolwillassistinassuringtheFTFencounteroccurstimely.
Inaddition,thefollowingresourcesareavailableontheCGSwebsite.
HomeHealthFace-to-Face(FTF)Encounter:http://www.
cgsmedicare.
com/hhh/coverage/hh_coverage_guidelines/hh_ftf_encounter.
htmlHomeHealthDenialFactSheet–DenialReason5FFTF:http://www.
cgsmedicare.
com/hhh/education/materials/pdf/hh_5fftf_factsheet.
pdfHomeHealthFace-To-FaceEncounterCalendarJANUARYFEBRUARYMARCH90DaysPriortoSOCSOCDate30DaysafterSOC90DaysPriortoSOCSOCDate30DaysafterSOC90DaysPriortoSOCSOCDate30DaysafterSOC10/0301/0101/3111/0302/0103/0312/0103/0103/3110/0401/0202/0111/0402/0203/0412/0203/0204/0110/0501/0302/0211/0502/0303/0512/0303/0304/0210/0601/0402/0311/0602/0403/0612/0403/0404/0310/0701/0502/0411/0702/0503/0712/0503/0504/0410/0801/0602/0511/0802/0603/0812/0603/0604/0510/0901/0702/0611/0902/0703/0912/0703/0704/0610/1001/0802/0711/1002/0803/1012/0803/0804/0710/1101/0902/0811/1102/0903/1112/0903/0904/0810/1201/1002/0911/1202/1003/1212/1003/1004/0910/1301/1102/1011/1302/1103/1312/1103/1104/1010/1401/1202/1111/1402/1203/1412/1203/1204/1110/1501/1302/1211/1502/1303/1512/1303/1304/1210/1601/1402/1311/1602/1403/1612/1403/1404/1310/1701/1502/1411/1702/1503/1712/1503/1504/1410/1801/1602/1511/1802/1603/1812/1603/1604/1510/1901/1702/1611/1902/1703/1912/1703/1704/1610/2001/1802/1711/2002/1803/2012/1803/1804/1710/2101/1902/1811/2102/1903/2112/1903/1904/1810/2201/2002/1911/2202/2003/2212/2003/2004/1910/2301/2102/2011/2302/2103/2312/2103/2104/2010/2401/2202/2111/2402/2203/2412/2203/2204/2110/2501/2302/2211/2502/2303/2512/2303/2304/2210/2601/2402/2311/2602/2403/2612/2403/2404/2310/2701/2502/2411/2702/2503/2712/2503/2504/2410/2801/2602/2511/2802/2603/2812/2603/2604/2510/2901/2702/2611/2902/2703/2912/2703/2704/2610/3001/2802/2711/3002/2803/3012/2803/2804/2710/3101/2902/2812/2903/2904/2811/0101/3003/0112/3003/3004/2911/0201/3103/0212/3103/3104/30PAGE1Originated:January27,20152015Copyright,CGSAdministrators,LLC.
APRILMAYJUNE90DaysPriortoSOCSOCDate30DaysafterSOC90DaysPriortoSOCSOCDate30DaysafterSOC90DaysPriortoSOCSOCDate30DaysafterSOC01/0104/0105/0101/3105/0105/3103/0306/0107/0101/0204/0205/0202/0105/0206/0103/0406/0207/0201/0304/0305/0302/0205/0306/0203/0506/0307/0301/0404/0405/0402/0305/0406/0303/0606/0407/0401/0504/0505/0502/0405/0506/0403/0706/0507/0501/0604/0605/0602/0505/0606/0503/0806/0607/0601/0704/0705/0702/0605/0706/0603/0906/0707/0701/0804/0805/0802/0705/0806/0703/1006/0807/0801/0904/0905/0902/0805/0906/0803/1106/0907/0901/1004/1005/1002/0905/1006/0903/1206/1007/1001/1104/1105/1102/1005/1106/1003/1306/1107/1101/1204/1205/1202/1105/1206/1103/1406/1207/1201/1304/1305/1302/1205/1306/1203/1506/1307/1301/1404/1405/1402/1305/1406/1303/1606/1407/1401/1504/1505/1502/1405/1506/1403/1706/1507/1501/1604/1605/1602/1505/1606/1503/1806/1607/1601/1704/1705/1702/1605/1706/1603/1906/1707/1701/1804/1805/1802/1705/1806/1703/2006/1807/1801/1904/1905/1902/1805/1906/1803/2106/1907/1901/2004/2005/2002/1905/2006/1903/2206/2007/2001/2104/2105/2102/2005/2106/2003/2306/2107/2101/2204/2205/2202/2105/2206/2103/2406/2207/2201/2304/2305/2302/2205/2306/2203/2506/2307/2301/2404/2405/2402/2305/2406/2303/2606/2407/2401/2504/2505/2502/2405/2506/2403/2706/2507/2501/2604/2605/2602/2505/2606/2503/2806/2607/2601/2704/2705/2702/2605/2706/2603/2906/2707/2701/2804/2805/2802/2705/2806/2703/3006/2807/2801/2904/2905/2902/2805/2906/2803/3106/2907/2901/3004/3005/3003/0105/3006/2904/0106/3007/3003/0205/3106/30HomeHealthFace-To-FaceEncounterCalendarPAGE2Originated:January27,20152015Copyright,CGSAdministrators,LLC.
JULYAUGUSTSEPTEMBER90DaysPriortoSOCSOCDate30DaysafterSOC90DaysPriortoSOCSOCDate30DaysafterSOC90DaysPriortoSOCSOCDate30DaysafterSOC04/0207/0107/3105/0308/0108/3106/0309/0110/0104/0307/0208/0105/0408/0209/0106/0409/0210/0204/0407/0308/0205/0508/0309/0206/0509/0310/0304/0507/0408/0305/0608/0409/0306/0609/0410/0404/0607/0508/0405/0708/0509/0406/0709/0510/0504/0707/0608/0505/0808/0609/0506/0809/0610/0604/0807/0708/0605/0908/0709/0606/0909/0710/0704/0907/0808/0705/1008/0809/0706/1009/0810/0804/1007/0908/0805/1108/0909/0806/1109/0910/0904/1107/1008/0905/1208/1009/0906/1209/1010/1004/1207/1108/1005/1308/1109/1006/1309/1110/1104/1307/1208/1105/1408/1209/1106/1409/1210/1204/1407/1308/1205/1508/1309/1206/1509/1310/1304/1507/1408/1305/1608/1409/1306/1609/1410/1404/1607/1508/1405/1708/1509/1406/1709/1510/1504/1707/1608/1505/1808/1609/1506/1809/1610/1604/1807/1708/1605/1908/1709/1606/1909/1710/1704/1907/1808/1705/2008/1809/1706/2009/1810/1804/2007/1908/1805/2108/1909/1806/2109/1910/1904/2107/2008/1905/2208/2009/1906/2209/2010/2004/2207/2108/2005/2308/2109/2006/2309/2110/2104/2307/2208/2105/2408/2209/2106/2409/2210/2204/2407/2308/2205/2508/2309/2206/2509/2310/2304/2507/2408/2305/2608/2409/2306/2609/2410/2404/2607/2508/2405/2708/2509/2406/2709/2510/2504/2707/2608/2505/2808/2609/2506/2809/2610/2604/2807/2708/2605/2908/2709/2606/2909/2710/2704/2907/2808/2705/3008/2809/2706/3009/2810/2804/3007/2908/2805/3108/2909/2807/0109/2910/2905/0107/3008/2906/0108/3009/2907/0209/3010/3005/0207/3108/3006/0208/3109/30HomeHealthFace-To-FaceEncounterCalendarPAGE3Originated:January27,20152015Copyright,CGSAdministrators,LLC.
OCTOBERNOVEMBERDECEMBER90DaysPriortoSOCSOCDate30DaysafterSOC90DaysPriortoSOCSOCDate30DaysafterSOC90DaysPriortoSOCSOCDate30DaysafterSOC07/0310/0110/3108/0311/0112/0109/0212/0112/3107/0410/0211/0108/0411/0212/0209/0312/0201/0107/0510/0311/0208/0511/0312/0309/0412/0301/0207/0610/0411/0308/0611/0412/0409/0512/0401/0307/0710/0511/0408/0711/0512/0509/0612/0501/0407/0810/0611/0508/0811/0612/0609/0712/0601/0507/0910/0711/0608/0911/0712/0709/0812/0701/0607/1010/0811/0708/1011/0812/0809/0912/0801/0707/1110/0911/0808/1111/0912/0909/1012/0901/0807/1210/1011/0908/1211/1012/1009/1112/1001/0907/1310/1111/1008/1311/1112/1109/1212/1101/1007/1410/1211/1108/1411/1212/1209/1312/1201/1107/1510/1311/1208/1511/1312/1309/1412/1301/1207/1610/1411/1308/1611/1412/1409/1512/1401/1307/1710/1511/1408/1711/1512/1509/1612/1501/1407/1810/1611/1508/1811/1612/1609/1712/1601/1507/1910/1711/1608/1911/1712/1709/1812/1701/1607/2010/1811/1708/2011/1812/1809/1912/1801/1707/2110/1911/1808/2111/1912/1909/2012/1901/1807/2210/2011/1908/2211/2012/2009/2112/2001/1907/2310/2111/2008/2311/2112/2109/2212/2101/2007/2410/2211/2108/2411/2212/2209/2312/2201/2107/2510/2311/2208/2511/2312/2309/2412/2301/2207/2610/2411/2308/2611/2412/2409/2512/2401/2307/2710/2511/2408/2711/2512/2509/2612/2501/2407/2810/2611/2508/2811/2612/2609/2712/2601/2507/2910/2711/2608/2911/2712/2709/2812/2701/2607/3010/2811/2708/3011/2812/2809/2912/2801/2707/3110/2911/2808/3111/2912/2909/3012/2901/2808/0110/3011/2909/0111/3012/3010/0112/3001/2908/0210/3111/3010/0212/3101/30HomeHealthFace-To-FaceEncounterCalendarPAGE4Originated:January27,20152015Copyright,CGSAdministrators,LLC.