{"id":91,"date":"2025-02-08T07:45:28","date_gmt":"2025-02-08T07:45:28","guid":{"rendered":"https:\/\/acentraqio.com\/?page_id=91"},"modified":"2026-02-05T16:01:53","modified_gmt":"2026-02-05T16:01:53","slug":"physician-acknowledgement-monitoring","status":"publish","type":"page","link":"http:\/\/acentraqio.com\/providers\/phystatement\/","title":{"rendered":"Physician Acknowledgement Monitoring"},"content":{"rendered":"<div id=\"pl-91\"  class=\"panel-layout\" ><div id=\"pg-91-0\"  class=\"panel-grid panel-has-style\" ><div class=\"hero-panel siteorigin-panels-stretch panel-row-style panel-row-style-for-91-0\" data-stretch-type=\"full-width-stretch\" ><div id=\"pgc-91-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-91-0-0-0\" class=\"so-panel widget widget_sow-image panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"left-sec panel-widget-style panel-widget-style-for-91-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-8b5b6f678277-91\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/acentraqio.com\/wp-content\/uploads\/2025\/02\/Female-Doctor-Holding-Medical-Records-1.jpg\" width=\"525\" height=\"260\" srcset=\"https:\/\/acentraqio.com\/wp-content\/uploads\/2025\/02\/Female-Doctor-Holding-Medical-Records-1.jpg 525w, https:\/\/acentraqio.com\/wp-content\/uploads\/2025\/02\/Female-Doctor-Holding-Medical-Records-1-300x149.jpg 300w\" sizes=\"(max-width: 525px) 100vw, 525px\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><\/div><div id=\"pgc-91-0-1\"  class=\"panel-grid-cell\" ><div id=\"panel-91-0-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"1\" ><div class=\"right-sec panel-widget-style panel-widget-style-for-91-0-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h1>Physician Acknowledgement Monitoring<\/h1>\n<div id=\"pl-218\"  class=\"panel-layout\" ><div id=\"pg-218-0\"  class=\"panel-grid panel-has-style\" ><div class=\"constant-text panel-row-style panel-row-style-for-218-0\" ><div id=\"pgc-218-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-218-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>We are the Beneficiary and Family Centered Care Quality Improvement Organization, working to improve the quality of care for Medicare beneficiaries. Our site offers beneficiary and family-centered care information for providers, patients, and families. Welcome!<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-91-1\"  class=\"panel-grid panel-has-style\" ><div class=\"top-gap-small bottom-gap-small panel-row-style panel-row-style-for-91-1\" ><div id=\"pgc-91-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-91-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<a href=\"https:\/\/acentraqio.com\">Home<\/a> \/ <\/nav>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-91-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-91-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-91-2-0-0\" class=\"so-panel widget widget_siteorigin-panels-builder panel-first-child panel-last-child\" data-index=\"3\" ><div id=\"pl-w6984bef1b4df1\"  class=\"panel-layout\" ><div id=\"pg-w6984bef1b4df1-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w6984bef1b4df1-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w6984bef1b4df1-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Instructions<\/h2>\n<ol>\n<li>Download the Physician Report (template below) to your computer and rename the file to your facility's CCN, facility\u2019s name, and today\u2019s date. Please do not make changes to the format.<\/li>\n<li>Upload your Physician Acknowledgement Statements along with your Physician Report before you click submit. We accept wet, electronic, and digitally signed Physician Acknowledgement Statements.<\/li>\n<li>You will receive further instruction from Acentra Health if deficiencies are found.<\/li>\n<\/ol>\n<p><a class=\"button\" href=\"https:\/\/acentraphysicianacknowledgement.acentra.com\/\" target=\"_blank\" rel=\"noopener\">Upload Physician Report and Statements<\/a><\/p>\n<h2>Documents<\/h2>\n<ul>\n<li><a href=\"\/wp-content\/uploads\/2025\/02\/pamsubmissiontemplate6192020508.xlsx\">Phyician Acknowledgement Statement Template<\/a>\u00a0(Excel Format) for submission of your list of all new physicians with admitting privileges<\/li>\n<li><a title=\"Frequently Asked Questions\" href=\"http:\/\/acentraqio.com\/wp-content\/uploads\/2025\/02\/pam-faq_07032024_508.pdf\" target=\"_blank\" rel=\"noopener\">Frequently Asked Questions (FAQ) Document<\/a>\u00a0(PDF)<\/li>\n<\/ul>\n<h2>Background<\/h2>\n<p>Regulations at 42 CFR 412.46 (one of the conditions at 42 CFR 412, Subpart C) require hospitals that are paid under the prospective payment system (PPS) to obtain only one signed acknowledgement from physicians who are being granted admitting privileges at a particular hospital. The physician must complete the acknowledgement at the time that he or she is granted admitting privileges at the hospital or before or at the time the physician admits his or her first patient to the hospital.<\/p>\n<p>When the hospital submits a claim, it must have on file a signed and dated acknowledgement from the attending physician that the physician has received the notice specified in 42 CFR 412.46(b). Existing acknowledgements signed by physicians already on staff remain in effect as long as the physician has admitting privileges at the hospital. Acentra Health will monitor this process on an annual basis. If a hospital fails to comply fully with these conditions with respect to one or more Medicare beneficiaries, the Centers for Medicare &amp; Medicaid Services (CMS) may, as appropriate:<\/p>\n<ul>\n<li>Withhold Medicare payment, in full or in part, to the hospital until the hospital provides adequate assurances of compliance; or<\/li>\n<li>Terminate the hospital's provider agreement.<\/li>\n<\/ul>\n<h2>Contact Information<\/h2>\n<p>If you have any questions about Physician Acknowledgement, please send an email to\u00a0<a href=\"mailto:physicianacknowledgement@acentra.com\">PhysicianAcknowledgement@acentra.com<\/a>.<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-w6984bef1b4df1-0-1\"  class=\"panel-grid-cell\" ><div id=\"panel-w6984bef1b4df1-0-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"1\" ><div class=\"related-links arrow-list-style panel-widget-style panel-widget-style-for-w6984bef1b4df1-0-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Related Links<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li><a href=\"https:\/\/acentraqio.com\/providers\/appeals\/\">Appeals<\/a><\/li>\n<li><a href=\"https:\/\/acentraqio.com\/providers\/complaints\/\">Beneficiary Complaints<\/a><\/li>\n<li><a href=\"http:\/\/acentraqio.com\/providers\/hwdrg\/\">Higher-Weighted DRG Reviews<\/a><\/li>\n<li><a href=\"https:\/\/acentraqio.com\/providers\/otherreviews\/\">Other Reviews<\/a><\/li>\n<li><a href=\"http:\/\/acentraqio.com\/providers\/cataract\/\">Assistant at Cataract<\/a><\/li>\n<li><a href=\"https:\/\/acentraqio.com\/providers\/medicalrecords\/\">Medical Record Electronic Submission<\/a><\/li>\n<li><a href=\"https:\/\/acentraqio.com\/providers\/providerresources\/\">Educational Resources<\/a><\/li>\n<li><a href=\"http:\/\/acentraqio.com\/webinars\/\">Webinars<\/a><\/li>\n<li><a href=\"https:\/\/acentraqio.com\/providers\/phystatement\/\">Physician Acknowledgement Monitoring<\/a><\/li>\n<li><a href=\"https:\/\/acentraqio.com\/providers\/liaison\/\">QIO Liaison<\/a><\/li>\n<li><a href=\"https:\/\/acentraqio.com\/providers\/agreement\/\">Memorandum of Agreement<\/a><\/li>\n<li><a href=\"https:\/\/acentraqio.com\/providers\/updatecontactinfo\/\">Update Your Contact Information<\/a><\/li>\n<li><a href=\"https:\/\/acentraqio.com\/providers\/becomeareviewer\/\">Become a Peer Reviewer<\/a><\/li>\n<li><a href=\"https:\/\/acentraqio.com\/casestatus\/\">Case Status Check<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Physician Acknowledgement Monitoring<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":33,"menu_order":44,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":{"0":"post-91","1":"page","2":"type-page","3":"status-publish","5":"entry"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Physician Acknowledgement Monitoring - Acentra Health BFCC-QIO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/acentraqio.com\/providers\/phystatement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Physician Acknowledgement Monitoring - Acentra Health BFCC-QIO\" \/>\n<meta property=\"og:description\" content=\"Physician Acknowledgement Monitoring\" \/>\n<meta property=\"og:url\" content=\"http:\/\/acentraqio.com\/providers\/phystatement\/\" \/>\n<meta property=\"og:site_name\" content=\"Acentra Health BFCC-QIO\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-05T16:01:53+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\\\/\\\/acentraqio.com\\\/providers\\\/phystatement\\\/\",\"url\":\"http:\\\/\\\/acentraqio.com\\\/providers\\\/phystatement\\\/\",\"name\":\"Physician Acknowledgement Monitoring - Acentra Health BFCC-QIO\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/acentraqio.com\\\/#website\"},\"datePublished\":\"2025-02-08T07:45:28+00:00\",\"dateModified\":\"2026-02-05T16:01:53+00:00\",\"breadcrumb\":{\"@id\":\"http:\\\/\\\/acentraqio.com\\\/providers\\\/phystatement\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\\\/\\\/acentraqio.com\\\/providers\\\/phystatement\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\\\/\\\/acentraqio.com\\\/providers\\\/phystatement\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/acentraqio.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Providers\",\"item\":\"http:\\\/\\\/acentraqio.com\\\/providers\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Physician Acknowledgement Monitoring\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/acentraqio.com\\\/#website\",\"url\":\"https:\\\/\\\/acentraqio.com\\\/\",\"name\":\"Acentra Health BFCC-QIO\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/acentraqio.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Physician Acknowledgement Monitoring - Acentra Health BFCC-QIO","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"http:\/\/acentraqio.com\/providers\/phystatement\/","og_locale":"en_US","og_type":"article","og_title":"Physician Acknowledgement Monitoring - Acentra Health BFCC-QIO","og_description":"Physician Acknowledgement Monitoring","og_url":"http:\/\/acentraqio.com\/providers\/phystatement\/","og_site_name":"Acentra Health BFCC-QIO","article_modified_time":"2026-02-05T16:01:53+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/acentraqio.com\/providers\/phystatement\/","url":"http:\/\/acentraqio.com\/providers\/phystatement\/","name":"Physician Acknowledgement Monitoring - Acentra Health BFCC-QIO","isPartOf":{"@id":"https:\/\/acentraqio.com\/#website"},"datePublished":"2025-02-08T07:45:28+00:00","dateModified":"2026-02-05T16:01:53+00:00","breadcrumb":{"@id":"http:\/\/acentraqio.com\/providers\/phystatement\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/acentraqio.com\/providers\/phystatement\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/acentraqio.com\/providers\/phystatement\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/acentraqio.com\/"},{"@type":"ListItem","position":2,"name":"Providers","item":"http:\/\/acentraqio.com\/providers\/"},{"@type":"ListItem","position":3,"name":"Physician Acknowledgement Monitoring"}]},{"@type":"WebSite","@id":"https:\/\/acentraqio.com\/#website","url":"https:\/\/acentraqio.com\/","name":"Acentra Health BFCC-QIO","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/acentraqio.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/acentraqio.com\/wp-json\/wp\/v2\/pages\/91","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/acentraqio.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/acentraqio.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/acentraqio.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/acentraqio.com\/wp-json\/wp\/v2\/comments?post=91"}],"version-history":[{"count":17,"href":"https:\/\/acentraqio.com\/wp-json\/wp\/v2\/pages\/91\/revisions"}],"predecessor-version":[{"id":2723,"href":"https:\/\/acentraqio.com\/wp-json\/wp\/v2\/pages\/91\/revisions\/2723"}],"up":[{"embeddable":true,"href":"https:\/\/acentraqio.com\/wp-json\/wp\/v2\/pages\/33"}],"wp:attachment":[{"href":"https:\/\/acentraqio.com\/wp-json\/wp\/v2\/media?parent=91"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}