Health Information Management

Proposed OPPS changes may bring greater flexibility for physician supervision

HIM-HIPAA Insider, August 4, 2009

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Despite several industry groups’ efforts to advocate for a moratorium on physician supervision requirements outlined in the 2009 OPPS final rule, CMS has stated that it will enforce current requirements for the remainder of the calendar year. The agency announced the news in its 2010 OPPS proposed rule released July 2.

This means that hospitals must continue to ensure that supervising physicians are in the department in which the services are taking place, regardless of whether the services are on or off campus.

However, for 2010, CMS has proposed two sets of requirements for each of these scenarios. For on campus supervision, the supervising physician or nonphysician practitioner must be in the hospital throughout the duration of the procedure. Being ‘in the hospital’ refers to being in areas in the main building(s) of the hospital that are under the ownership, financial, and administrative control of the hospital. These areas must be operated as part of the hospital, and services performed in these areas must be furnished under the hospital’s CMS Certification Number.

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