Health Information Management

Tip: ED physicians can provide supervision if immediately available

APCs Insider, January 21, 2011

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Over the years, many HIM staff have assumed that ED physicians in the hospital could provide the necessary direct supervision for outpatient procedures. In the 2011 OPPS final rule, CMS discusses how an ED physician could be the individual who provides direct supervision, but that each hospital needs to evaluate this. Don’t just assume that ED staff members are always immediately available in accordance with CMS guidance.

Consider this situation. A small hospital has one ED physician on staff and an ambulance arrives in the middle of the night. The ED physician is now busy and un likely to be able to interrupt the task at hand to provide direct supervision to an observation patient who has taken a turn for the worse or another patient who has a reaction to medication.
Depending on the services your facility provides, when it provides them, existing staff, and the capacity of the ED and other departments, you may be able to designate an ED physician as the supervisory physician or NPP, especially after hours. However, the ED may be too busy to respond to requests from other departments to provide the necessary supervision during daytime hours.

This tip was adapted from “CMS tears down walls for physician supervision” in the January issue of Briefings on APCs.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular