Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 4 § 80

Summary Table for Certifications/Recertifications

Last amended: 2014Year: 2014Length: 241 wordsOfficial source
80 - Summary Table for Certifications/Recertifications (Rev. 84, Issued: 04-04-14, Effective: 05-05-14, Implementation: 05-05-14) The following is a table summarizing the certification/recertification signature requirements and timeframes for various provider types. Please review sections above for more detailed information on Certifications/Recertifications and their required content: Provider Type Who Signs Certification Certification Timeframe Recertification Hospital Inpatient Attending physician or by another physician with knowledge of the case with authorization from attending physician or by a member of hospital's medical staff with knowledge of the case. No later than the 12th day of hospitalization Interval between recertifications not to exceed 30 days SNF Attending physician or physician on staff at SNF with knowledge of case, or physician extender as discussed in §40.1 of this chapter Obtain at time of admission or shortly thereafter First recertification no later than the 14th day of inpatient extended care services. Subsequent at intervals not exceeding 30 days. HHA Attending physician Obtain at time POC is established or shortly thereafter Physician must recertify at least once every 60 days Hospice For initial 90-day period, must obtain written certification statements from medical director of hospice or physician member of the hospice interdisciplinary group and the attending physician. If written certification is not obtained within 2 calendar days of the initiation of hospice care, a verbal certification must be obtained. Must be obtained for each period of hospice care; written certification by hospice medical director or physician member of interdisciplinary group.
Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 4 § 80: Summary Table for Certifications/Recertifications | Justis AI