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ASTRO issues guidance on hospital supervision changes

November 13, 2019

In the 2020 HOPPS final rule, CMS changes the current supervision policy for therapeutic services delivered in the hospital outpatient setting from either “direct” or “general” supervision to a blanket “general” supervision policy. ASTRO opposed this policy change in a letter to CMS when it was included in the proposal and is disappointed that CMS is moving forward with the change despite ASTRO’s concerns that it could potentially endanger patients due to the irreversible nature of radiation treatment delivery. ASTRO urges radiation oncologists to work with their hospital administrators and compliance officials to adopt supervision policies specific to radiation therapy services that are in alignment with ASTRO’s APEx Accreditation Standards, Safety is No Accident and Supervision Guidance policies. Read ASTRO’s full statement.