Health Information Management

CMS delays enforcement of physician supervision for CAHs

HIM-HIPAA Insider, March 23, 2010

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Critical access hospitals (CAH) have received a reprieve of sorts from CMS.

CMS will not evaluate or enforce the “direct supervision” requirement for therapeutic services furnished in calendar year 2010 to outpatients in CAHs, according to a March 15 agency notice to Congress.
 
“This is good news for CAHs in 2010,” says Debbie Mackaman, RHIA, CHCO, regulatory specialist for HCPro, Inc. “This has already proven to be a significant challenge for some rural hospitals that do not have the medical staff available to provide a 24/7 level of supervision outside of the ER physicians.”
 
Sometimes a disconnect exists between the reality of on-the-ground operational issues that hospitals face daily and the rules that regulatory agencies believe make sense for all hospitals, says Jugna Shah, MPH, president of Nimitt Consulting, Inc., in Washington, DC.
 
“A greater understanding of CAH operational and care-delivery issues should have been taken into account from the beginning as CMS was thinking through whether a one-size-fits-all approach to physician supervision would work,” Shah adds. “No one argues with the need to have physician supervision, as that is important for patient safety, but the rules around it need to be appropriate for CAHs.”
 
Click here to read more.



Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Most Popular