US · guidance
CMS SOM App. A, Tag A-0067
[…the governing body must ensure that the following requirements are met:]
§482.12(c)(3) A doctor of medicine or osteopathy is on duty or on call at all times.
Survey Procedures §482.12(c)(3)
• Verify the governing body has established and monitors the enforcement of policies that ensure a
doctor of medicine or osteopathy is on duty or on call at all times to provide medical care and
onsite supervision when necessary.
• Review the “call” register and documents that assure that a doctor of medicine or osteopathy is
on duty or on call at all times.
• Interview nursing staff. How do they know who is on call? Are they able to call the on-call
MD/DO and speak with him/her at all times? When appropriate, do on-call MD/DOs come to
the hospital to provide needed care.
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
9be9b3dc8a51ffefe25297f6a0e4806cfb875e3445cf1ae3fc3f53c58ded11ee
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