Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
ensure an adequate nexus between the physician practice and
the testing being conducted in the building. The commenter
asserted that limiting the location to a building in which
the ordering physician provides substantially the full
range of services that the ordering physician typically
provides imposes unnecessary restrictions that are overly
burdensome when compared to the purpose of the proposed
rule. Another commenter, in similar comments, urged us to
consider replacing “ordering physician” with the words
“ordering physician or a member of the ordering physician’s
group practice.” According to the commenter, this revision
would permit any physician member of a group practice to
utilize the group’s centralized designated health service
(“DHS”) facility (and bill under the normal physician fee
schedule), provided that the facility is located in the
same building where the group practice provides patient
care services on a full-time basis. To avoid the potential
problem presented by a group practice with multiple
offices, none of which provides the full range of patient
care services provided by the group as a whole, the group
proposed that we eliminate the requirement that the group
practice provide in the same building “substantially the
full range of patient care services that [it] provides
generally .” The commenter suggested replacing this
479