After the 100% countersignature ≤ 10 days requirement is met, which statement about ongoing review/countersignature is correct?

• A. Ongoing review is determined at the practice level if desired
• B. The countersignature is no longer required
• C. The supervising physician must perform daily countersignature
• D. Countersignature is required for every patient encounter

Answer: (A)

The idea being tested is that once the initial requirement for countersignature (100% countersignature within 10 days) is satisfied, the ongoing review plan is not dictated by a universal rule but can be set by the practice itself. In other words, continuing oversight after meeting that threshold is determined at the practice level if desired. This allows each practice to tailor how closely encounters are reviewed based on its specific resources, patient population, and risk considerations.

Why this is the best fit: it provides flexibility and recognizes that different settings may need different levels of ongoing oversight. Some practices might implement periodic or randomized audits, while others may opt for minimal or no ongoing countersignature requirements beyond the initial threshold. The other statements imply universal mandates (daily countersignature, countersignature for every encounter, or no further requirement), which aren’t universally required or implied by meeting the initial target.