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CMS-1403-FC
the technician’s (or physician’s) performance of the test.
Nor do we believe that it is necessary to define the term
“supervising.” For a service to be covered by Medicare,
the regulations at §410.32 define and specify various
levels of supervision (that is general, direct, or personal
supervision). The anti-markup provisions, when applied,
limit the amount a physician or other supplier may bill
Medicare. In the context of the applicability of the anti-
markup provisions, we are requiring that the physician
supervising the TC be present in the same building (as
defined at §411.351); however, this has no impact on other
Medicare billing requirements, which may require a specific
level of supervision as described above. We decline to
define the term “full range of services,” because this
would vary greatly based on factors such as the specialty
of the ordering physician, the types of services within the
physician’s specialty, and the focus of services at the
specified practice.
Comment: According to one commenter, the “office of
the billing physician or other supplier” for multi-
specialty groups should include medical office space in
which the physician group provides substantially the full
range of services of one or more of the specialties of the
group. The commenter contended that this requirement would
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