Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.4
Face-to-Face Encounter Definition
5.4 – Face-to-Face Encounter Definition
(Rev. 10190; Issued: 06-19-2020; Effective: 01-01-2020; Implementation: 07-01-
2020)
A face-to-face encounter means an in-person or telehealth encounter between the treating
practitioner and the beneficiary. The face-to-face encounter must be used for the purpose
of gathering subjective and objective information associated with diagnosing, treating, or
managing a clinical condition for which the DMEPOS is ordered. Telehealth encounters
used to satisfy the face-to-face requirement must meet the requirements of 42 CFR §§
410.78 and 414.65 for purposes of DMEPOS coverage.