responses for PA and NP signatures.
Jim Del Bianco
Description
Collection
Title:
responses for PA and NP signatures.
Creator:
Jim Del Bianco
Date:
11/24/2015
Text:
Replies for PA, NP signing Rx's and chart notes, specifically for
prosthetics.
assessment of responses: Most say yes and one even had notes pas pre
payment with PA and NP signatures. 2 people did not agree. Perhaps someone
can comment on the 2 who felt otherwise.
Disagree:
-Jim,
I can see how it could be interpreted either way, but I have always read it
as a physician is the only one who can sign the Rx:
• Doctor of medicine
• Doctor of osteopathy (including osteopathic practitioner) - must be
licensed to practice
medicine and surgery
• Doctor of dental surgery or dental medicine
• Chiropractor (see below)
• Doctor of podiatry (see below) or surgical chiropody
• Doctor of optometry
It seems to be they are distinguishing the above list of physicians, who
can sign Rx, from the additional professionals who may contribute to
medical necessity only.
-You're right about the Rx that Rx can be signed on their own, but the
medical record/visit notes for a PA must be cosigned by MD.
Agree:
We have used both a pa and np, and claims were paid after prepayment audit.
-You are correct Jim - FNP, PA can do full Prosthesis. WE have found that
when an MD signs off, it can lead to problems. Medicare likes to see only
ONE prescriber name throughout the documentation (DWO, chart notes). At
least that has been our experience.
-Yes, that is correct. Hopefully someday Medicare will update all their
corresponding LCD's to Physician/Practitioner (PA, NP
-the manual says they have to meet the practitioner requirement in Chapter
15 and
the services are within their scope of practice as defined by the state
that licenses them
and they have to be treating them for the condition (I'd get their note to
make sure they are treating them and not just signing
-I agree as long as that person had their own separate NPI#.
-make sure they are individually enrolled in PECOS.
--
Jim Del Bianco
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prosthetics.
assessment of responses: Most say yes and one even had notes pas pre
payment with PA and NP signatures. 2 people did not agree. Perhaps someone
can comment on the 2 who felt otherwise.
Disagree:
-Jim,
I can see how it could be interpreted either way, but I have always read it
as a physician is the only one who can sign the Rx:
• Doctor of medicine
• Doctor of osteopathy (including osteopathic practitioner) - must be
licensed to practice
medicine and surgery
• Doctor of dental surgery or dental medicine
• Chiropractor (see below)
• Doctor of podiatry (see below) or surgical chiropody
• Doctor of optometry
It seems to be they are distinguishing the above list of physicians, who
can sign Rx, from the additional professionals who may contribute to
medical necessity only.
-You're right about the Rx that Rx can be signed on their own, but the
medical record/visit notes for a PA must be cosigned by MD.
Agree:
We have used both a pa and np, and claims were paid after prepayment audit.
-You are correct Jim - FNP, PA can do full Prosthesis. WE have found that
when an MD signs off, it can lead to problems. Medicare likes to see only
ONE prescriber name throughout the documentation (DWO, chart notes). At
least that has been our experience.
-Yes, that is correct. Hopefully someday Medicare will update all their
corresponding LCD's to Physician/Practitioner (PA, NP
-the manual says they have to meet the practitioner requirement in Chapter
15 and
the services are within their scope of practice as defined by the state
that licenses them
and they have to be treating them for the condition (I'd get their note to
make sure they are treating them and not just signing
-I agree as long as that person had their own separate NPI#.
-make sure they are individually enrolled in PECOS.
--
Jim Del Bianco
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Jim Del Bianco, “responses for PA and NP signatures.,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/237846.
