Change 1

Updated for the CY 2027 Medicare Physician Fee Schedule Final Rule (CMS-1848-F), released Nov 4, 2026. Effective Jan 1, 2027. Last verified: November 5, 2026

Help center · Supervision

Does the supervising practitioner need to be on site?

Answered by Angel Reyes, MCHES®Last verified: November 5, 2026

Short answer

No. Under general supervision, the practitioner does not need to be physically present during the coaching session. Direct supervision, which would have required presence, was the proposal and was not finalized.

General supervision is not "no supervision." Practices should define how the practitioner stays involved, for example through orders, periodic chart review and a clear referral path for clinical issues.

Didn't find your answer? Browse the help center or contact us. Educational only; not legal, billing, coding or clinical advice. Your supervising practitioner's and organization's policies come first.