Practice Management

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  • 1.  Supervision of Diagnostic Tests by APP's

    Posted 04-01-2022 14:01
    Can someone clarify the Medicare supervision rules as they currently apply to Physician Assistants?

    Can they perform personal supervision? 

    Direct supervision?

    Does the setting make a difference?

    Do the rules change at the end of the PHE?

    Thanks!

    Dave

    ------------------------------
    David Smith FACMPE
    Executive Director
    United Imaging Consultants
    Mission KS
    (785) 393-8387
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  • 2.  RE: Supervision of Diagnostic Tests by APP's

    Posted 04-01-2022 14:06

    I would also like this information.

     

    Thank you,

     

    Carol Hamilton, MBA, FRBMA, FACMPE, SHRM-SCP

    Chief Administrative Officer

    West County Radiological Group, Inc.

    11475 Olde Cabin Road, Suite 200

    St. Louis, MO 63141

    P: 314-991-8201

     



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  • 3.  RE: Supervision of Diagnostic Tests by APP's

    Posted 04-01-2022 14:14
    Interested in this as well...



    --
    Rick Sylvanus
    Operations Manager
    Southern Delaware Imaging Associates
    P.O. Box 97
    Nassau, DE 19969
    Office: 302-645-7919 x1000
    Fax: 302-645-7841

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  • 4.  RE: Supervision of Diagnostic Tests by APP's

    Posted 04-01-2022 14:55
      |   view attached

    Effective January of 2021, NPs and PAs were authorized under the Medicare rules to supervise Level 2 diagnostic tests (e.g., contrast studies) under their direct supervision, but only to the extent permitted by state law and their state scope of practice rules. See 42 CFR 410.32(b)(3)(ii). Only physicians can perform general and personal supervision. I've attached the rule, but not sure it will convey via the Forum.

     

    And see our blog posts linked below.

     

    https://viewpoints.reedsmith.com/post/102haab/radiologists-are-at-a-crossroads-on-legislation-to-permit-the-use-of-mid-level-pr

     

    https://www.reedsmith.com/en/perspectives/outlook/2021/05/diagnostic-test-supervision-cms-relaxes-rules-but-also-creates-ambiguity

     

    Be aware, that in IDTF settings only physicians proficient in the performance in interpretation of the tests performed at the IDTF can supervise those tests.

     

    In addition to state law and IDTF constraints, radiology groups need to be mindful of the requirements for the type of practitioner their accreditation organization requires for services performed on accredited advanced diagnostic imaging modalities.

     

    Tom

     

    Thomas W. Greeson

    703.517.0495 (cell)

    tgreeson@reedsmith.com

    Pronouns: He/Him/His

     

    Reed Smith LLP

    7900 Tysons One Place

    Suite 500

    McLean, Virginia 22102-5979

    Office: 703 641 4242

    Cell:     703.517.0495

    Facsimile:   703 641 4340

     

     

     

     

     




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