Faxing Resident Information

Faxing Resident Information 

Effective Date: [Original NPP Date] 
Revised Date: [Current Date] 

Standard: 

Medical information may be sent by fax as a method of communication with other healthcare providers, ensuring resident confidentiality is protected. 

Procedure: 

• Cover Letters: 

• Use cover letters addressed to a specific provider when sending faxes. 

• Documentation in Medical Record: 

• Include a nurse’s note in the medical record regarding the information faxed. 

• All faxes received from other providers containing orders should be included in the resident’s medical record and signed by the MD/APRN/PA. 

• Follow-Up: 

• The licensed nurse is responsible for making subsequent phone calls if faxed information requiring treatment orders is not responded to in a timely manner. If necessary, notify the Medical Director. 

• Physician Orders: 

• Faxed physician orders should be placed into the physician order section of the medical record and transcribed accordingly. 

References: 

• Centers for Medicare & Medicaid Services. State Operations Manual, Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. [Link to current CMS SOM] 

• CMS Requirements of Participation for Long-Term Care Facilities. [Link to current guidelines]