skip to content
Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. Information for Medicare beneficiaries is only available on the medicare.gov website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 7/2/2014 Location: FL, PR, USVI Business: Part A, Part B

Signature requirements for progress notes FAQ

Q. When billing Medicare for services that are provided 'incident to' by a Physician Assistant (PA), does the supervising physician have to sign the PA's progress notes?
A. It is recommended that the physician co-sign the PA's progress notes as the physician's signature lends credence to the 'incident to' requirements having been met, as well as the fact that the physician supervised the PA's work.
Note: A service that is billed as 'incident to' is one that is furnished as an incidental but integral part of the physician's professional services in the course of the diagnosis or treatment of the patient's injury or illness.
Source: The Centers for Medicare & Medicaid Services (CMS) Internet-only manual (IOM), Pub. 100-02 Medicare Benefit Policy Manual, Chapter 15, Section 60.1; First Coast Medical Review
list item Please use your browser's back button to return to the referring page.

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.