CMS Issues Preliminary Recommendations for Supervision Levels of Certain Outpatient Services

October 3, 2012 | Strategic Insights for Health System


The Centers for Medicare and Medicaid Services (CMS) has proposed to reduce the supervision level for 15 outpatient services, including certain vaccine administrations, blood collection, bladder catheter insertion, and intravenous hydration services, from direct supervision to general supervision, according to a September 24, 2012, CMS press release. As outlined in the calendar year 2012 outpatient prospective payment system and ambulatory surgical center final rule, CMS established a process to obtain independent advice from the Hospital Outpatient Payment Panel regarding the appropriate supervision levels for individual hospital outpatient therapeutic services (see the June 13, 2012, HRC Alerts). CMS charged the panel with recommending the supervision level that will ensure the appropriate quality and safety for delivery of a given service as defined by its Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT) code.

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