Medicare has released the CY2011 OPPS Proposed Rule. In large part the proposed changes are geared toward implementing the statutory requirements outlined in the Affordable Care Act. One of the most significant proposed changes is to the Physician Supervision requirement for Outpatient Therapeutic Services in Hospitals and CAHs. In summary, CMS is proposing to identify a limited set of services with significant monitoring components, that are non-surgical and typically have a low risk of complication after the initial assessment deemed “nonsurgical extended duration therapeutic services”. These services would require direct supervision for the initiation of the service followed by general supervision for the remainder of the service. The list of proposed services appear in Table 37 of this proposed rule and include services such as, IV infusion, hospital observation, IV hydration therapy, subcutaneous infusion, and some injections. To view the entire rule, go to: http://www.ofr.gov/OFRUpload/OFRData/2010-16448_PI.pdf
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