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Physician Regulatory Issues Team (PRIT)

Past PRIT Issues

  Details for Co-signature Requirements in a Critical Access Hospital
  

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Issue Name Co-signature Requirements in a Critical Access Hospital
Issue The Interpretive Guidelines for Critical Access Hospitals required 25% of the physician assistant outpatient medical records to be consigned by a physician. In 2004, CMS released new interpretive guidelines that require all outpatient physician assistant charts to be signed by a physician. The American Academy of Physician Assistants asked us to review this new policy because they feel it is burdensome.
Status See below.
Date Issue Created 12/01/2004

 

March 7th: CMS has decided that in states where mid-level practitioners are allowed to act as independent practitioners, in accordance with State law, we will allow that 25% of outpatient medical records and 100% of inpatient medical records in a CAH receive medical review and signature.
June 9: A Survey and Cert letter (SC0532) reinstates original CMS policy.

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Last Modified Date : 05/03/2006
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