Health Information Management

Pay-per-view: CMS expands suspension of physician supervision rules

APCs Insider, January 7, 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.

CMS initially suspended enforcement of these requirements in March 2010 for CAHs only, after CAHs made compelling arguments that CMS needed to study this area more carefully before requiring direct supervision. CMS continues to assert that CAHs cannot operate under their Conditions of Participation (CoP) alone, but should be required to also follow CMS’ physician supervision rules.

Continue reading “CMS expands suspension of physician supervision rules” on the HCPro website. Subscribers to Briefings on APCs have free access to this article in their January issue.



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