Do Physicians Need to Sign Discharge Reports

January 31, 2022
Rick Gawenda

A question I have been receiving lately is must a physician sign a therapists discharge report for Medicare beneficiaries receiving outpatient therapy services? In addition, must a physician sign a therapists discharge report for patients who have a commercial insurance or are being seen under workers compensation?

The answer for Medicare Part B outpatient therapy services is

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  1. Do interim every 10 visit progress reports, that are not a plan of care, require a signature from a physician?

  2. Does the discharge summary need to be sent to the referring physician? What if in the instance where the physician uses the same EMR? Thank you!

  3. Are discharge summaries a requirement? What happens if a patient just doesn’t come back to therapy?

    1. They are required for Medicare, many commercial insurance carriers as well as by many state therapy practice acts.