Health Information Management

CMS expands suspension of physician supervision rules

Briefings on APCs, January 1, 2011

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The changes CMS made to the supervision requirements will delay but not eliminate the problems critical access hospitals (CAH) and small rural hospitals have with after-hours care. Many CAHs and small rural hospitals do not have physicians in the facility 24 hours per day. However, the supervision changes will not affect CAHs in 2011 because CMS will not evaluate or enforce the “direct supervision” requirement for therapeutic services furnished to outpatients in CAHs and rural hospitals. 

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