A provider may have others furnish certain covered items and services to its patients
through arrangements under which receipt of payment by the provider for the services
discharges the liability of the beneficiary or any other person to pay for the services.
In permitting providers to furnish services under arrangements, it is not intended
that the provider merely serves a billing mechanism for the other party. For services
provided under arrangements to be covered, the provider must exercise professional
responsibility over the arranged-for services.
The provider's professional supervision over arranged-for services requires application
of many of the same quality controls as are applied to services furnished by salaried
employees. The provider must accept the patient for treatment in accordance with its
admission policies, maintain a complete and timely clinical record on the patient
which includes diagnosis, medical history, physician's orders, and progress notes
relating to all services received, and maintain liaison with the attending physician
with regard to the progress of the patient and the need for revised orders or, in
the case of home health services and outpatient physical therapy or speech pathology
services, the required plan of treatment.