Health Information Management

CMS finalizes changes to physician supervision requirements

APC Payment Insider, February 1, 2010

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For direct supervision of hospital outpatient therapeutic services furnished in a hospital, CMS defines “in the hospital” as in the main buildings that are under the ownership and control of the hospital, operated by the hospital, and for which the hospital bills services under its billing number.

For services “in the hospital” or provided in designated on-campus provider-based departments, the supervising practitioner only needs to be on the campus, not in the department. CMS did not formally define “on the campus” but had indicated in the proposed rule that it would require the practitioner to be in a space meeting the definition of “in the hospital.”

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