Health Information Management

Pay-per-view: CMS finalizes list of 16 extended-duration services

APCs Insider, January 14, 2011

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As part of the 2011 OPPS final rule, CMS identified a limited set of services as “nonsurgical extended duration therapeutic services,” requiring direct supervision for initiation of the service followed by general supervision for the remainder of the service.

“General supervision” means the procedure is furnished under the physician’s overall direction and control, but the physician’s presence is not required during the performance of the procedure. CMS identified 16 services to fall into this new category in the proposed rule and finalized the list for 2011 in the final rule, despite receiving comments from numerous providers about holding off on this type of decision. 

“This is clearly directed at observation services and, in particular, the difficulty critical access hospitals [CAH] had with covering these services at night,” says Kimberly Anderwood Hoy, Esq., CPC director of Medicare and compliance at HCPro, Inc., in Danvers, MA.

Continue reading “CMS finalizes list of 16 extended-duration services” on the HCPro website. Subscribers to Briefings on APCs have free access to this article in their January issue.



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