Who must sign the plan of care for outpatient therapy services?

The plan of care for outpatient therapy services must be signed by the person who established it. This typically means a qualified healthcare provider, such as a physician or an authorized therapist, who has developed the plan based on the patient's needs and assessment. Having the creator of the plan sign it ensures accountability and confirms that the care prescribed is appropriate for the patient’s condition. This practice is fundamental in maintaining continuity of care and clarifying responsibilities among healthcare providers involved in the patient's treatment.

While the involvement of the patient and the referring physician can be critical for effective communication and oversight, their signatures are not necessary for the validity of the plan of care. The primary nurse of record may play a significant role in coordinating care, but they are not always responsible for creating or establishing the therapy plan. Thus, the requirement for the author or creator of the plan to sign it is essential for compliance and quality assurance in outpatient therapy services.