The short answer is no.
“There is no CMS requirement specifying that physicians or allowed non-physician practitioners must sign every single page of home health POC certifications or recertification,” according to the latest research that the AMA has done through its “Debunking Regulatory Myths” series.
Instead, the individual home health agency is allowed to determine the document’s format and the way in which timely certification or recertification is obtained.
“Signing and dating every page of a home health certification or recertification can unnecessarily add administrative work and consume time,” says the AMA explainer.
But the home health care plan includes links to resources that physicians can go to for more information or for printable information to share with colleagues. For example, CMS provides information about who may sign a plan-of-care certification or recertification, the timing of these documents and more at “Medicare General Information, Eligibility, and Entitlement: Physician Certification and Recertification of Services.”
The AMA’s own guidance, “How should physicians sign home care plan of care recertifications?” (PDF), is offered in a format that is easy to share with colleagues.
