In a joint letter to the CMS, four healthcare organizations urged the agency to reconsider what the groups see as a substantial policy change regarding physician supervision outlined in the 2009 outpatient prospective-payment system, or OPPS, rule. The American Hospital Association, Association of American Medical Colleges, Federation of American Hospitals and National Association of Psychiatric Health Systems sent the letter after a meeting with CMS representatives to discuss their concerns, which they initially addressed in a separate letter with seven other groups in mid-April. In that correspondence, the groups asked the CMS to withdraw or delay enforcing a policy that would require a physician to be physically present in the outpatient department of a hospital at all times when outpatient services are provided, regardless of whether those services take place in the hospital, on the hospital campus, or off-campus. While the 2009 OPPS rule says this requirement is a restatement and clarification of what had been outlined in rules prior to January 2009, the groups say it is clearly a significant policy change.
Late News: CMS urged to alter outpatient prospective-payment rule
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