- Joined
- Nov 3, 2011
- Messages
- 39
- Reaction score
- 53
In the HOPPS final rule starting in 2020, CMS extended existing general supervision requirements to all hospital outpatient therapeutic services, thereby reducing the supervision for radiation therapy services
Link to 2020 Hospital Outpatient Prospective Payment System (HOPPS).
Relevant bit from the document:
“Therefore, we proposed to change the generally applicable minimum required
level of supervision for hospital outpatient therapeutic services from direct supervision to
general supervision for services furnished by all hospitals and CAHs. General
supervision, as defined in our regulation at 42 CFR 410.32(b)(3)(i) means that the
procedure is furnished under the physician's overall direction and control, but that the
physician's presence is not required during the performance of the procedure. This
proposal would ensure a standard minimum level of supervision for each hospital
outpatient therapeutic service furnished incident to a physician’s service in accordance
with the statute. We proposed to amend the existing regulation at §410.27(a)(1)(iv) to
provide that the default minimum level of supervision for each hospital outpatient
therapeutic service is 'general.' ”
ASTRO's response: "ASTRO opposed such a broad reduction that could risk patient safety. The Agency noted that facilities and physicians have the flexibility to adhere to higher standards."
Well, this could get interesting...
Link to 2020 Hospital Outpatient Prospective Payment System (HOPPS).
Relevant bit from the document:
“Therefore, we proposed to change the generally applicable minimum required
level of supervision for hospital outpatient therapeutic services from direct supervision to
general supervision for services furnished by all hospitals and CAHs. General
supervision, as defined in our regulation at 42 CFR 410.32(b)(3)(i) means that the
procedure is furnished under the physician's overall direction and control, but that the
physician's presence is not required during the performance of the procedure. This
proposal would ensure a standard minimum level of supervision for each hospital
outpatient therapeutic service furnished incident to a physician’s service in accordance
with the statute. We proposed to amend the existing regulation at §410.27(a)(1)(iv) to
provide that the default minimum level of supervision for each hospital outpatient
therapeutic service is 'general.' ”
ASTRO's response: "ASTRO opposed such a broad reduction that could risk patient safety. The Agency noted that facilities and physicians have the flexibility to adhere to higher standards."
Well, this could get interesting...
