Ftag of the Week Reference
483.30 — Physician Services (F710–F715)
The Physician Services regulatory group sets out how physicians are involved in each resident’s care — supervising medical care, making required visits, being available for emergencies, and delegating certain tasks to non-physician practitioners, dietitians and therapists. Surveyors turn to these regulations when a resident’s medical care appears delayed, unsupervised or undocumented.
F710 – F715
Physician Services — F-Tag Analysis
Resident’s Care Supervised by a Physician
Requirements for physician supervision of each resident’s medical care, including who supervises when the attending physician is unavailable and how orders for a resident’s immediate care and needs are provided throughout the stay.
Physician Visits – Review Care/Notes/Order
Requirements for what the physician must do at each required visit — review the resident’s total program of care, including medications and treatments, write, sign and date progress notes, and sign and date orders.
Physician Visits – Frequency/Timeliness/Alternate NPPs
Requirements for how often physician visits must occur and which visits a non-physician practitioner (NPP) may make, including the differences between skilled nursing facilities and nursing facilities.
Physician for Emergency Care, Available 24 Hours
Requirements for providing or arranging physician services 24 hours a day in case of emergency, and what surveyors look at when a physician can’t be reached.
Physician Delegation of Tasks in SNFs/NFs
Requirements for delegating physician tasks to nurse practitioners, physician assistants and clinical nurse specialists — what can and can’t be delegated in a skilled nursing facility, and the conditions for NPPs in a nursing facility.
Physician Delegation to Dietitian/Therapist
Requirements for an attending physician delegating the writing of dietary orders to a qualified dietitian and therapy orders to a qualified therapist, within State scope of practice and under physician supervision.
Need Support with Physician Services Compliance?
CMSCG’s consultants provide chart auditing, policy review and clinical compliance support to help facilities identify gaps in physician oversight, visit documentation and delegation before a surveyor does.