AMA Clinical Examples in Radiology - 2010 Bulletin 2
Physician Supervision Policy Updated by the 2011 HOPPS Proposed Rule
Physician Supervision Policy Updated by the 2011 HOPPS Proposed Rule Therapeutic Services The Centers for Medicare and Medicaid Services (CMS) provided clarification of the term "direct supervision" in the 2011 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule. For services provided on-campus, "direct supervision" means the supervising physician or nonphysician needs to be present on the campus of the hospital or Critical Access Hospital (CAH) and is immediately available to provide assistance. The same rule is applicable to services provided in off-campus remote locations, ie, the supervising physician or nonphysician needs to be present in the off-campus location and...
Subscribe or sign in to view the full article.
Article Overview
This article reviews proposed CMS updates to physician supervision policy under the 2011 Hospital Outpatient Prospective Payment System. It focuses on how supervision concepts are described for hospital outpatient services, including therapeutic services and diagnostic services, and discusses the kinds of policy questions CMS was seeking comment on. The article is relevant to hospital outpatient coders, billing staff, compliance teams, and others tracking Medicare outpatient supervision requirements and related facility guidance.
Why This Topic Matters
Changes in outpatient supervision policy can affect hospital workflow, compliance planning, and documentation practices. Readers interested in Medicare hospital outpatient policy will want to understand the scope of the proposed clarification and the service categories CMS addressed.
Article Sections
-
Therapeutic Services
Discusses CMS clarification of outpatient supervision concepts for therapeutic services and the categories of facility settings addressed in the proposed rule. It also introduces the service types CMS grouped for proposed supervision treatment and comment.
-
Diagnostic Services
Summarizes the proposed direction for supervision requirements tied to diagnostic services and references the Medicare fee schedule resource CMS pointed to for those requirements.
-
Table 1. Proposed List of Nonsurgical Extended-Duration Therapeutic Services
Presents the table of service identifiers included in CMS’s proposed list of nonsurgical extended-duration therapeutic services.
What You Will Learn
- How CMS described supervision concepts in the 2011 HOPPS proposed rule
- What categories of outpatient services were addressed in the proposal
- Which CMS policy topics were open for public comment
- How the article frames diagnostic service supervision guidance in relation to Medicare resources
Who Should Read This
- Hospital outpatient coders
- Billing and reimbursement staff
- Compliance professionals
- Revenue cycle teams
- Medicare policy analysts
- Clinical documentation staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com
