Antidote CME



Making Sense of the New Medicare Face-to-Face Requirements
for Home Health Care and Hospice

Up to 1.0 AMA PRA Category 1 Credits
Up to 1 AAFP Prescribed Credits Approved

Release Date: March 23, 2011
Expiration Date: March 23, 2012

Target Audience
Health care providers whose patients are cared for by home health care agencies and hospices, especially: home health care and hospice agency medical directors and consultants; nurse practitioners; nurses who work in home health care and hospice.

Statement of Purpose
The Affordable Care Act of 2010 has changed the physician home health initial certification requirements for Medicare beneficiaries to include a face-to-face encounter. CMS will begin enforcing this change effective April 1, 2011, and all physicians and care providers who work with physicians will be affected.

This CME webinar activity is being developed by a multidisciplinary faculty to discuss all of the aspects of these new requirements.

Learning Objectives
Upon completion of this activity, you should be able to:

  1. Discuss the face-to-face encounter requirements of the CMS rule on health care providers that work together with home health care and hospice.
  2. Assess the guidance comments provided by CMS on the face-to-face encounter rule.


  • Face-to-face: A Look at the Rule
  • Legal overview and CMS guidance on face-to-face
  • Quality issues with face-to-face
  • Interactive discussion with participants

Michael Fleming, MD, FAAFP
Dr. Fleming is Chief Medical Officer for Amedisys Home Health Services. He is a Clinical Associate Professor of Family Medicine at LSU Health Science Center in Shreveport, and Clinical Assistant Professor of Family and Community Medicine at Tulane University School of Medicine. Dr. Fleming has more than 29 years of medical field experience and is past President of the American Academy of Family Physicians and the Louisiana Academy of Family Physicians; and was founding President of the Louisiana Health Care Quality Forum. Dr. Fleming also serves as Chief Medical Officer of Antidote Education Company.

Steven Landers, MD
Dr. Steven Landers is a family doctor and geriatrician at Cleveland Clinic where he directs their Center for Home Care and Community Rehabilitation. Dr. Landers’ clinical practice emphasizes in-home geriatric assessment and in-home primary care (housecalls) for vulnerable elders, and his administrative responsibilities include serving as medical director and chief executive for Cleveland Clinic’s home care services inclusive of their Medicare Certified Home Health Agency, Hospice, Home Infusion Pharmacy, and Home Respiratory Therapy programs.

Jeffrey Jeter, JD
Jeffrey Jeter has served as Chief Compliance Officer/Corporate Counsel for Amedisys Home Health Services since 2001. Prior to joining Amedisys, Mr. Jeter served as an Assistant Attorney General for the Louisiana Department of Justice where he prosecuted health care fraud and nursing home abuse. He received his Juris Doctorate and also holds a master's in public administration degree from Louisiana State University. Additionally, he is a graduate of the prosecutor training course at Northwestern University of Chicago. He also has served as an instructor at both the Federal Law Enforcement Training Center and the Louisiana Law Enforcement Commission Officer Training Program.

Mary Naylor, PhD, FAAN, RN
Dr. Naylor is the Marian S. Ware Professor in Gerontology and Director of the NewCourtland Center for Transitions and Health at the University of Pennsylvania, School of Nursing. Since 1990, Dr. Naylor has led a multidisciplinary program of research designed to improve the quality of care, decrease unnecessary hospitalizations and reduce health care costs for vulnerable, community-based elders.

Dr. Naylor is the National Program Director for the Robert Wood Johnson Foundation sponsored Interdisciplinary Nursing Quality Research Initiative. She was elected to the National Academy of Sciences, Institute of Medicine (IOM) in 2005. She also is a member of the RAND Health Board, the National Quality Forum Board of Directors and Chair of the recently established Long Term Quality Alliance.

ACCME: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Antidote Education Company and Amedisys. Antidote is accredited by the ACCME to provide continuing medical education for physicians.

Antidote Education Company designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AAFP: This activity, Making Sense of the New Medicare Face-to-Face Requirements for Home Health Care and Hospice with a beginning date of March 23, 2011 has been reviewed and is acceptable for up to 1 Prescribed credits by the American Academy of Family Physicians.

AOA: This program has been accredited by the American Osteopathic Association for 1 credit hours of AOA Category 2-B credit.

AANP: This program is approved for 1.0 contact hours of continuing education by the American Academy of Nurse Practitioners. Program ID 1102055. This program was planned in accordance with AANP CE Standards and Policies and AANP Commercial Support Standards.

AAPA: AAPA accepts certificates of participation for educational activities certified for Prescribed credit from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1 hour of Category I credit for completing this program.

Method of Participation

  • Read the learning objectives and faculty disclosures.
  • Click on the link below to participate in the online activity. Answer any polling questions presented.
  • Complete the post-test and evaluation presented at the end of the activity.

A statement of credit will be issued automatically upon receipt of a completed activity evaluation form and a completed post-test with a score of 80% or better. You will have 3 opportunities to successfully complete the post-test.

Antidote is committed to creating, developing, and operating high-quality, relevant, and practical continuing medical education activities that are in compliance with the ACCME's policies on commercial support and disclosure. Specifically, we are dedicated to ensuring that our events are planned and implemented free of the control of commercial interests and to identifying and resolving conflicts of interest of all persons in a position to control the content of an educational activity before the educational activity is delivered to our attendees. In addition, it is our standard practice to disclose all relevant financial relationships of our speakers in writing to our attendees before the beginning of an educational activity. The ACCME does not consider Amedisys to be a commercial interest.

Individuals in a position to control the content of this CME activity reported the following relevant financial relationships with commercial interests:

Michael Fleming, MD, FAAFP
Program development & Presenting Faculty
No relevant financial relationships to disclose
Dr. Fleming is employed by Amedisys

Jeffrey Jeter, JD
Presenting Faculty
No relevant financial relationships to disclose
Mr. Jeter is employed by Amedisys

Steven Landers, MD, MPH
Presenting Faculty
No relevant financial relationships to disclose
Dr. Landers is a consultant to Amedisys

Mary Naylor, PhD, FAAN, RN
Presenting Faculty
No relevant financial relationships to disclose

The material presented at this course is being made available by Antidote Education Company for educational purposes only. This material is not intended to represent the only, nor necessarily best methods or procedures appropriate for the medical situations discussed, but rather is intended to present an approach, view, statement or opinion of the faculty which may be helpful to others who face similar situations.
Opinions expressed in this activity are those of the faculty and not of Antidote or the joint sponsor.

Every effort has been made to assure the accuracy of the data presented at this course. Physicians may care to check specific details such as drug doses and contraindications in standard sources prior to clinical application.

Software Requirements:
An internet browser:
Internet Explorer 6.0 or newer, Firefox or Safari
Your browser must have cookies enabled and allow pop ups.

A media player:
Windows Media Player or Adobe Flash Player

It is HIGHLY recommended that you test your computer system to ensure you have the appropriate software and settings. To test your system, click the link below and then click the "System Test" button in the upper left side of the screen. This will run a compatibility check of your computer for the web seminar listing any issues of compatibility that could cause you not to be able to participate.


Click here to view

Webinar Specifics

Statement of Purpose
Learning Objectives


Webinar Transcript
PDF Click to Read






































































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