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Re: Signatures From: ainsron (ainsron@sbcglobal.net) Tue Aug 7 09:45:57 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Signatures" Previous message: ainsron: "Re: Signatures" In reply to: Joanne Bulley, MD: "Re: Signatures" Next in thread: Garry E. Siegel, M.D.: "Re: Signatures" No, there is no additional pay for supervision. Actually, even though the CNMS are not my employees, they have to bill private insurers (other than Medi-Cal) under my provider numbers. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Bulley, MD Sent: Monday, August 06, 2007 7:47 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Signatures I don't know about our hospital and CNMs - but I know the hospital initially required the Internists / Family Practice docs to do it for all the physician extenders (PAs and ARNPs) - and I think they eventually stopped requiring it - but I wouldn't swear to that. It might be akin to our Anesthesiologists requiring to always have one MD Anesthesiologist NOT running a case but always "supervising" - it always keeps an extra pair of hands for emergencies and hyperthermia etc - but it allows them to bill for that supervision. Does your practice get paid more - or do the insurers require that the CNMs be always supervised and the signature is how you do that? Joanne At Mon, 6 Aug 2007, Dr. Ainsworth wrote: > >I have a question for any of you MDs who back up midwives or for >midwives who practice in the hospital. > >Are MD signatures required on every order written in your hospital by >CNMs? It is a requirement in my hospital, a requirement by the medical >staff bylaws. However, I can't find that to be a requirement of the CMS >interpretive guidelines. As far as I am concerned, I think it is a >waste of my time. The only orders I should have to sign are those >outside of the scope of practice on the CNM or not covered by the >medical staff approved protocols for hospital care. -- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA Next message: ainsron: "Re: Signatures" Previous message: ainsron: "Re: Signatures" In reply to: Joanne Bulley, MD: "Re: Signatures" Next in thread: Garry E. Siegel, M.D.: "Re: Signatures"

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