Relates to referral of patients by health care providers; deletes the definitions of the terms direct supervision and present in the office suite; revises the definition of the term referral to remove reference to direct physician supervision and to require compliance with certain Medicare payment and coverage rules.
3. The following orders, recommendations, or plans of care shall not constitute a referral by a health care provider:
f. By a health care provider who is the sole provider or member of a group practice for designated health services or other health care items or services that are prescribed or provided solely for such referring health care provider’s or group practice’s own patients, and that are provided or performed by or under the supervision of such referring health care provider or group practice if such supervision complies with all applicable Medicare payment and coverage rules for services ;