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CMS and physician supervision: Off-site physicians

Briefings on Accreditation and Quality, April 1, 2009

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CMS has clarified its ruling on the physician supervision of on-campus hospital outpatient therapeutic services in the 2009 outpatient prospective payment system (OPPS) final rule. CMS stated that it expects direct physician supervision of all hospital outpatient therapeutic services, regardless of whether they are on- or off-campus. Does this mean a physician must be present in the provider-based department located off-site, but not directly in the room with each patient?

The short answer is yes. The physician needs to be physically present in the department but does not have to be present in the room with each patient. The 2009 OPPS final rule states …

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on Accreditation and Quality.

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