BC Advantage - 2010 Issue 3

CMS finalizes changes to physician supervision requirements for hospitals

CMS adopted a new standard for direct supervision of therapeutic services provided "in a hospital" or on-campus outpatient department as part of the 2010 OPPS final rule, released October 30. In the rule, CMS defined "in the hospital" and clarified that the supervision requirements extend to all outpatient services provided "in the hospital", and not just those in provider based departments.  They also discussed "immediately available" extensively and loosened restrictions that prevented nurse practitioners, physician's assistants and other non-physician practitioners (NPPs) from acting as the supervising provider.  Supervision requirements in off-campus departments remained essentially the same, with...

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