office services requiring direct vs general supervision

Erica

Hello,

Does anyone have anything in writing about which services require direct vs. general supervision. For example, if the physician is out of the office, can they still provide and bill for vaccines and IM injections? If it comes down to scope of practice laws, this particular client is in Ohio, which I am brand new billing for services out of this state.

Thanks you!!!

Erica

Okay I think I found my answer —

Medicare says that for vaccines direct supervision is not required but does state that State laws vary.. so my interpretation is if the State Scope of Practice Laws require on-site supervision, that supersedes the Medicare regs… is that correct?

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R1700B3.pdf

http://codes.ohio.gov/orc/4731.053

Thanks!