Why must a physician verify and sign orders written by an NPP in the SNF?
A10. In SNFs, depending on State law and the facility’s policy, physicians do NOT have to verify and sign orders written by an NPP after the initial comprehensive visit. Nonetheless, the ultimate responsibility for delegated tasks remains with the physician, as indicated in § 483.40(e)(1)(iii). For a NF, depending upon State law, NPPs not employed by the facility but who are working in collaboration with a physician are not required to have their orders (initial or ongoing) cosigned by a physician. Q11. Referring to S&C –04-08 issued on November 13, 2003, the chart under the “Other Medically Necessary Visits and Orders” column, it specifies the ability of the NPP to perform AND sign but in the column for “Other Required Visits” it does not address signing. Does CMS require a physician’s signature in such cases? A11. ‘Other Required Visits’ refers to the federally required visits. During these required visits, it is not always necessary to write orders. However, during a “Medically Nece
A10. In SNFs, depending on State law and the facility’s policy, physicians do NOT have to verify and sign orders written by an NPP after the initial comprehensive visit. Nonetheless, the ultimate responsibility for delegated tasks remains with the physician, as indicated in § 483.40(e)(1)(iii). For a NF, depending upon State law, NPPs not employed by the facility but who are working in collaboration with a physician are not required to have their orders (initial or ongoing) cosigned by a physician. Q11. Referring to S&C –04-08 issued on November 13, 2003, the chart under the “Other Medically Necessary Visits and Orders” column, it specifies the ability of the NPP to perform AND sign but in the column for “Other Required Visits” it does not address signing. Does CMS require a physician’s signature in such cases? A11. ‘Other Required Visits’ refers to the federally required visits. During these required visits, it is not always necessary to write orders. However, during a “Medically Nece
