Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 4 § 80
Summary Table for Certifications/Recertifications
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.