Tuesday, February 12, 2013

CMS Proposes New Regs

As you may have heard, CMS issued a series of proposals to reduce redundancy and increase healthcare efficiency in the Federal Registrar on Thursday, February 7.   NAMSS is actively reviewing these proposals to help answer any questions you may have.     

More information will be forthcoming.  In the meantime, CMS's complete proposal can be found (beginning on page 9216) here. 

And here are a few points of interest:

Medical Staff
- CMS revisits its rule on one governing body for multi-hospital systems:
May 2012:  CMS permitted one governing body for multi-hospital systems that included at least one member of the hospital’s medical staff.
February 2013:  CMS proposes to retract its requirement that a medical staff member be on the governing body and instead require that a hospital’s governing body consult with the designated medical staff leadership at least twice a year.  Multi-hospital systems with a single governing body would need to consult with the medical staffs of each of its hospitals. 

- CMS proposes to require each hospital to have an organized medical staff that is specific to that hospital and abides by its governing body’s bylaws. 

Outpatient Services
 -CMS proposes to allow hospital medical staffs to authorize practitioners who are not a part of that medical staff to order outpatient services for their patients, if state law permits.

Privileging Dieticians
 -CMS proposes to consider qualified dietitians as practitioners to enable them to order patient diets as part of the Hospital Conditions of Participation.

As we will continue to keep you updated, we invite you to contact us with any questions or input you may have on these proposals. 

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