Who signs this chart? (a substitute question)

[toutfour]

Hi all,

 

I'm newly starting at a multi-doc practice. One of the substitute supervising physcians is saying that the "sign the note in 10days" rule is still the work of the primary. That's not how we did it at my last practice, but...

 

I looked at the rules and I can say he is wrong.

The substitute has responsibiliy while the primary is away, but if the primary is avaiable to sign the chart within that 10days, by what I'm reading, the substitue can pass the buck.

 

Can anyone point me to the law/regulation/addendum/legal presidence, which demonstrates that the sub DOES take on the signing rule.

 

Some relevant regs:

"Substitute supervising physician--A supervising physician who is registered with the Board and designated in the written agreement as assuming primary responsibility for a physician assistant when the primary supervising physician is unavailable."

"(4) The supervising physician shall countersign the patient record within 10 days."

© During the period of supervision by the substitute supervising physician, the substitute supervising physician retains full professional and legal responsibility for the performance of the physician assistant and the care and treatment of the patients treated by the physician assistant.

-Thanks, Tourfour

[ventana]

what state? what are your supervision requirements? State versus your supervision agreement?

[chatcat]

The way I read this is the supervising doc is required to abide by the same rules as the primary SP....and if he supervises your work then he signs the work you did under his supervision within 10 days .