Author Topic: IDTF FOR IN HOME SLEEP STUDIES  (Read 1889 times)

medbilleror

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IDTF FOR IN HOME SLEEP STUDIES
« on: January 11, 2011, 11:20:55 PM »
OK, needs some help out there...........I've posted some questions under credentialing help.....(sorry, it's late and I still have a lot on this on my mind, so while it's fresh, I would post this)... :o

To operate an IDTF, it requires to have a supervising physician (this person does not have to be on site).  Can this person be a Board Certified Family Nurse Practitioner, or does it have to be a Board Certified MD only??  Medicare doesn't give a good definition on this.

thanks again!!  ;D

Michele

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Re: IDTF FOR IN HOME SLEEP STUDIES
« Reply #1 on: January 12, 2011, 07:49:59 AM »
I found the following information on the cms website:


The 2010 OPPS Final Rule
After almost a year of lobbying efforts, CMS retreated from its 2009 OPPS Final Rule supervision standards. Specifically, on July 20, 2009 CMS published the 2010 OPPS Proposed Rule, which proposed relaxed direct supervision standards that were even less stringent than the supervision requirements published in the 2000 OPPS Final Rule. On October 30, 2009, CMS released the 2010 OPPS Final Rule, which generally adopted the same relaxed supervision standards announced in the 2010 OPPS Proposed Rule. The provisions of the 2010 OPPS Final Rule are detailed below:

   1. Non-Physician Practitioners May Provide the Required Direct Supervision. Beginning January 1, 2010, CMS will permit specified nonphysician practitioners to provide supervision over outpatient therapeutic services that they may themselves perform. This rule represents a significant policy change for CMS, which previously required that a “physician” (generally an M.D. or D.O.) provide supervision of outpatient therapeutic services. Under the 2010 Final Rule, CMS will permit Nurse Practitioners (NPs), Physician Assistants (PAs), Clinical Nurse Specialists, Certified Nurse Midwi v e s, C l i n i c a l Psychologists, and Licensed Clinical Social Workers (LCSWs)1 to supervise all hospital outpatient therapeutic services they may themselves perform under applicable State law and Medicare requirements. These non-physician practitioners must also be specifically privileged by the hospital to perform the services they are supervising and must abide by any applicable physician collaboration or supervision requirements.



Just to be safe, I would call Medicare Provider Enrollment for your carrier and ask.

Michele
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medbilleror

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Re: IDTF FOR IN HOME SLEEP STUDIES
« Reply #2 on: January 12, 2011, 11:47:31 AM »
Michele you are awesome. I need to know exactly where on the CMS website!!  I can't find it. 
I talked to our local Medicare carrier and they didn't know anything about it.  She gave me a fax number to her supervisor for me to fax this info to them.
The ones I did find talked about hospital outpatient services.  Would IDTF In home sleep testing be considered outpatient therapeutic services?  I tried calling you but got voice mail. 

Michele

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medbilleror

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Re: IDTF FOR IN HOME SLEEP STUDIES
« Reply #4 on: January 14, 2011, 12:28:00 PM »
you are sooooo awesome!! I am so glad I found this forum!!  I am also a medical biller, so this site will benefit me!   ;)