CMS Pub. 100-01, ch. 4, § 80

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.