The law requires hospitals that are paid under the prospective payment system (PPS) to obtain a signed acknowledgement from physicians who have admitting privileges at a particular hospital. The physician must complete the acknowledgement when he or she receives admitting privileges or before or at the time the doctor admits his or her first patient to the hospital.
When submitting a claim, the hospital must have on file a signed and dated acknowledgement from the attending physician that the physician received the notice. Existing acknowledgements from physicians already on staff remain in effect as long as the physician has admitting privileges at the hospital. Your state’s Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) monitors this process annually.
You can identify your state’s BFCC-QIO by referencing listing below.
BFCC-QIO Contact Information by Region or State
Connecticut, Massachusetts, Maine, New Hampshire, Rhode Island, Vermont
New Jersey, New York, Puerto Rico, Virgin Islands
Delaware, DC, Maryland, Pennsylvania, Virginia, West Virginia
Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee
Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin
Arkansas, Louisiana, New Mexico, Oklahoma, Texas
Iowa, Kansas, Missouri, Nebraska
Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming
Arizona, California, Hawaii, Nevada, Guam, N. Mariana Islands, American Samoa
Alaska, Idaho, Oregon, Washington