The Centers for Medicare & Medicaid Services (CMS) has backed off an earlier proposal regarding use of nonphysicians to perform inpatient rehabilitation services that could have a set a dangerous precedent for getting rid of physician supervision requirements across a wide swath of health care. In the 2021 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) proposed rule, CMS wanted to change regulations to allow the use of nonphysician practitioners (NPPs) to perform the IRF services and documentation requirements that now must be done by rehabilitation physicians.
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