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My nurse practice act in Georgia is vague with regard to supervision/collaboration issues. There is no state where the law requires physicians to sign every one of a nurse practitioner's (NP's) charts. In Tennessee, a physician must sign 20% of an NP's charts every 30 days. In Arkansas, there is a requirement for physician cosignature of NP orders. Practice protocols or facility requirements must specify when NP's orders must be cosigned.
Documents will be returned to the facility after the BCBSM Skilled Nursing Facilityâs facility code has. been activated for billing purposes, generally within three weeks of our receipt of the signed Signature. Documents. For MA PPO, the effective date is the date indicated on the Signature Document. The. effective date for participation in the BCBSM Traditional Skilled Nursing Facility program will be the. date the application is approved by BCBSM.