For the Week of September 15, 2014
Does Medicare require that a pharmacist or physician prepare radiopharmaceuticals or can another healthcare professional also prepare them when done in-house?
In a May 2014 final rule, the Centers for Medicare & Medicaid Services (CMS) removed the modifier ‘‘direct’’ from the supervision requirement, and the presence of a pharmacist, MD, or DO are no longer be required during the delivery of off-hour nuclear medicine tests. Other appropriately trained hospital staff may prepare in-house RPs under the oversight of a pharmacist, MD, or DO but without their physical presence in the hospital at all times, particularly during off-hours.
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