Health Information Management

Tip: Note these physician supervision changes

APCs Insider, September 16, 2011

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CMS finalized several changes to physician supervision requirements for hospitals for CY 2011.

Most notably, CMS created a new category of nonsurgical extended duration therapeutic services that require direct supervision at the initiation of the service but can then be ¬followed by general supervision for the remainder of the service. CMS announced its plan to convene a panel to review the supervision level of additional services that it might add to this category of nonsurgical extended duration services and other services. CMS did not enforce the supervision requirements for critical access hospitals (CAH) in 2011 but said it would do so in the near future.

In the 2012 OPPS proposed rule, CMS discussed its plan to use the existing APC Advisory Panel with some modifications, including the addition of panel members from the CAH and rural hospital community, to review the supervision levels of services brought to its attention.

CMS describes the process it proposes, its plan on handling requests for services to review, and -other criteria it expects to use. As a result, CMS also proposes extending its nonenforcement policy of supervision requirements to CAHs. This means CAHs will be exempt from these requirements for one more year.

The tip is adapted from “CMS to revise conversion factor, physician supervision” in the September issue of Briefings on APCs.



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