Care Plan Oversight

40.1.3.1 - Care Plan Oversight (Rev. 4280, Issued: 04-19-2019, Effective: 07-21-19, Implementation: 07-21-19) Care plan oversight (CPO) exists where there is physician supervision of patients under care of hospices that require complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans. Implicit in the concept of CPO is the expectation that the physician has coordinated an aspect of the patient’s care with the hospice during the month for which CPO services were billed. For a physician or NP employed by or under arrangement with a hospice agency, CPO functions are incorporated and are part of the hospice per diem payment and as such may not be separately billed. For information on separately billable CPO services by the attending physician, nurse practitioner, or physician assistant, see Chapter 12, §180 of this manual.