CHA News Article

HOP Panel To Meet Regarding Supervision Policy for Outpatient Therapeutic Services

On Aug. 26-27, the Advisory Panel on Hospital Outpatient Payment (HOP Panel), which advises the Centers for Medicare & Medicaid Services (CMS) regarding the appropriate level of supervision for individual hospital outpatient therapeutic services, will hear testimony from hospital and health system leaders. The meeting may be the last opportunity to have outpatient therapeutic services designated as “general supervision” services before CMS begins enforcing the agency’s direct supervision requirements for critical access hospitals and small and rural hospitals on Jan. 1. The number and variety of services that the HOP Panel considers will depend on how many hospitals request to testify before the panel and the services they present for evaluation. Based on recommendations made by five hospitals that presented at the HOP Panel’s February and August 2012 meetings, CMS reduced the level of supervision for 49 outpatient therapeutic services from “direct” to “general” supervision. Information regarding the HOP Panel meeting, as well as instructions for submitting written testimony, are available at