• Physician Delegation of Tasks in Skilled Nursing Facilities and Nursing Facilities

    Friday May 17, 2013

    The Centers for Medicare & Medicaid Services (CMS) is publishing this article to provide clarification of Federal guidance regarding Section 3108 of the Affordable Care Act (ACA), related to physician delegation of certain tasks in SNFs and NFs to NPPs (NPPs are formerly "physician extenders") such as nurse practitioners (NPs), physician assistants (PAs), or clinical nurse specialists (CNSs).


    This article addresses the authority of NPs, Pas, or CNSs to perform certain tasks such as conducting physician visits and writing orders, and to sign certifications and re-certifications.

    Physician Delegation

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