Administrative Activities

40.1.1 - Administrative Activities (Rev.4280, Issued: 04-19-2019, Effective: 07-21-19, Implementation: 07-21-19) Payment for physicians’ administrative and general supervisory activities is included in the hospice payment rates. These activities include participating in the establishment, review and updating of plans of care, supervising care and services and establishing governing policies. These activities are generally performed by the physician serving as the medical director and the physician member of the interdisciplinary group (IDG). Nurse practitioners or physician assistants may not serve as or replace the medical director or physician member of the IDG.