decisionhealth Newsletters, Part B News - 2019 Issue 8 (August)
CMS proposes to loosen supervision requirements for PA, CRNAs
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Article Overview
This article explains proposed CMS changes in the 2020 Medicare physician fee schedule and related coverage rules that would affect non-physician practitioners, especially physician assistants and certified registered nurse anesthetists. It discusses how the proposal relates to state scope-of-practice laws, supervision documentation, hospice-related authority, and preoperative anesthesia evaluation. The piece is aimed at providers, coders, compliance staff, and administrators who track Medicare policy changes affecting staffing and billing workflows.
Why This Topic Matters
Policy changes affecting supervision, documentation, and practitioner authority can alter how services are delivered, recorded, and supported for Medicare purposes. Organizations that employ PAs or CRNAs may need to monitor the final rule for operational and compliance impacts.
What You Will Learn
- What CMS is proposing in the 2020 Medicare physician fee schedule for non-physician practitioners
- How the proposal relates to physician assistant supervision and documentation
- How the proposal could affect PA responsibilities in hospice settings
- How the proposal could affect CRNA preoperative evaluation authority in ambulatory surgical centers
- Why state law and Medicare policy alignment matters for provider organizations
Who Should Read This
- Physician assistants
- Certified registered nurse anesthetists
- Hospice providers
- Ambulatory surgical center administrators
- Hospital compliance and billing staff
- Medical practice managers
- Medicare policy analysts
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