Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 4 § 10.5
Selection by Hospital of Format and Method for Obtaining
10.5 - Selection by Hospital of Format and Method for Obtaining
Statement
(Rev. 1, 09-11-02)
The individual hospital determines the method by which certifications and recertifications
are to be obtained and the format of the statement. Thus, the medical and administrative
staffs of each hospital may adopt the form and procedure they find most convenient and
appropriate.
There is no requirement that the certification or recertification be entered on any specific
form or handled in any specific way, as long as the approach adopted by the hospital
permits the A/B MAC (A) to determine that the certification and recertification
requirements are, in fact, met. The certification or recertification could, therefore, be
entered or preprinted on a form the physician already has to sign; or a separate form
could be used. If all the required information is included in progress NOTEs, the
physician's statement could indicate that the individual's medical record contains the
information required and that continued hospitalization is medically necessary.