Ordering outpatient services and complying with CMS

Last year, CMS updated key provisions of its medical staff Conditions of Participation. HCPro teamed up with Michael R. Callahan, Esq., to present a webcast on these changes. If you missed it the first time around, now is your chance to listen: HCPro will rebroadcast the webcast, Final CMS CoPs: Navigating Revised Medical Staff Standards and New Requirements on Thursday, July 23, 1-2:30 EST. Below is a question Callahan received during the original broadcast.  

Q: If outpatient services must be ordered by a practitioner who is licensed in the state where he or she provides care to the patient, and is acting within his or her scope of practice under that state law, do we need to verify that the ordering practitioner is acting within his or her scope of practice under our state law, or the law for the state in which they are licensed?

A: Both. For example, if I can order an outpatient service in Illinois, but for some reason, I can’t order it in Ohio, then you wouldn’t let me order it. I wouldn’t expect there to be restrictions, but every state is different. We’ve done multistate analysis of peer review statutes and each one is different. You really have to check with state law.

To sign up for the webcast, click here.