US · guidance
CMS Pub. 100-04, ch. 11, § 40.1.3.1
Care Plan Oversight
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.
History
(Rev. 4280, Issued: 04-19-2019, Effective: 07-21-19, Implementation: 07-21-19)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
c5e0f03a6be38c82832bf8fceb8571ee6ca86742ae019a0c07be791565a6dc0d
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