Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 436.000 - Radiation Oncology Treatment Centers
Section 436.402 - Definitions

The following terms used in 130 CMR 436.000 have the meanings given in 130 CMR 436.402, unless the context clearly requires a different meaning. The reimbursability of services defined in 130 CMR 436.000 is not determined by these definitions, but by application of regulations elsewhere in 130 CMR 436.000 and in 130 CMR 450.000.

Direct Supervision - the physician is present in the office suite and immediately available to furnish assistance and direction throughout the performance of the procedure. It does not require that the physician be present in the room when the procedure is performed.

General Supervision - the procedure is furnished under the physician's overall direction and control, but the physician is not necessarily required during the performance of the procedure.

Non-physician Personnel - technicians, employed or contracted by the radiation oncology center, whose function is to perform the technical component of a given procedure.

Personal Supervision - a physician is physically in the room during the performance of the procedure.

Referring Physician - a physician who requests or orders the service but does not necessarily perform the service.

Supervising Physician - the physician responsible for the personal, direct or general supervision of the testing performed, the quality of the testing performed, the proper operation and calibration of the equipment used to perform tests, and the actions of non-physician personnel who use the equipment.