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Virtual Supervision: Expanding Access to Healthcare during the PHE

Inga C. Ellzey, RHIA, MPA, CDC

By March 8, 2023No Comments

In response to the ongoing Public Health Emergency (PHE), the Centers for Medicare and Medicaid Services (CMS) has temporarily expanded the definition of “direct supervision” to include virtual supervision through real-time audio and video technology. This change has allowed more people to receive care by making it easier for healthcare professionals to provide services remotely.

Previously, direct supervision required the supervising healthcare professional to be physically present in the office suite during a patient’s visit. However, the temporary exception now allows for immediate availability through virtual presence. This change has facilitated the provision of telehealth services by clinical staff “incident to” the professional services of physicians and other practitioners.

This flexibility has been instrumental in expanding access to care for patients, especially those living in remote or underserved areas. The temporary exception for virtual supervision will expire on December 31, 2023.

By leveraging technology to provide virtual supervision, healthcare professionals can continue to deliver high-quality care to patients, even during times of crisis. This change has allowed more people to receive the care they need while minimizing the risk of exposure to COVID-19.

As we navigate the ongoing PHE, we encourage dermatologists and other healthcare professionals to continue to explore the use of virtual supervision to expand access to care for their patients. For more information regarding virtual supervision please visit

Additional Resources:

Physicians and Other Clinicians: CMS Flexibilities to Fight COVID-19

CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19 Public Health Emergency

Read more from our published resources:

About Inga Ellzey and our Dermatology Billing Services

After 27 years of perfecting billing processes, Inga Ellzey continues to be the nation’s leading expert in dermatology billing. Our billing service serves over 100 dermatology practices in 37 states without utilizing any offshore labor. Our goal is to make sure that you and your patients receive the most competent and professional service available on the market today.

If you are interested in speaking with our company about how we can maximize your collections while also improving your process, please contact us or call 888-434-4374.

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