Corporate Compliance

MedicareFind spotlight: Physician supervision Q&A

Medicare Insider, June 1, 2010

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Those of you seeking more guidance in the long-running series of clarifications and changes regarding physician supervision under the “incident to” benefit can now reference a relatively new set of questions and answers published by CMS.

Among the questions addressed are:

  • Does Medicare require direct supervision for all services provided to outpatients in hospitals?
  • Does a physician or non-physician practitioner need to be immediately available and on campus 24 hours a day, 7 days a week in order to meet Medicare’s direct supervision requirements for payment purposes?
  • Is a physician or non-physician practitioner considered immediately available as long as they are on the hospital campus?
  • Can an emergency department physician or non-physician practitioner directly supervise therapeutic outpatient services while in the emergency department?
  • How will the requirement for direct physician supervision of therapeutic services delivered to outpatients affect the review of claims by contractors?

Read the answers to these questions here.

View MedicareMentor Blog posts on physician supervision.

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