CMS Eases Supervision Requirements for 22 Outpatient Therapeutic Services

The Centers for Medicare and Medicaid Services issued a final decision easing supervision requirements for 22 hospital outpatient therapeutic services, including certain flu and other drug or therapeutic injections.

In August, the federal advisory Hospital Outpatient Payment Panel recommended CMS reduce the required supervision level for 28 outpatient services. CMS made preliminary decisions in September to reduce supervision for 15 of those services.


After considering public comment on its preliminary decisions, CMS has made a final decision that 22 of the considered services may be provided with a minimum of general supervision, meaning the supervisor will not be required to be immediately available to the patient. Seven services will maintain their current designation as non-surgical extended duration therapeutic services, which require a supervising practitioner to be immediately available to the patient.

The new supervision requirements for the 22 services will go into effect Jan. 1.

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