Legal & Regulatory

CMS finalizes the 2026 Medicare Physician Fee Schedule, permanently allowing virtual direct supervision via real-time audio-video communication.

Governor Newsom signs AB 460, making virtual supervision for contrast imaging official in California. Learn what changes take effect January 1, 2026.

CMS Proposes Permanent Virtual Supervision, Telehealth Rule for 2026

AB 460 heads to the Senate Health Committee today, aiming to modernize California’s rules for X-ray and CT contrast procedures with safe, virtual supervision — matching what’s already permitted for MRI. Tether Supervision supports this timely reform with one clarification around EMR access.

The ACR and RBMA are urging CMS to make virtual supervision permanent. Tether breaks down what’s at stake and why now is the time to act.

California’s AB 460 clears Assembly Appropriations, updating supervision rules for radiologic technologists by allowing real-time remote oversight. The reform aligns state law with federal standards and improves patient care access, particularly in rural communities.

CA AB 460, introduced in 2025, amends the Radiologic Technology Act to redefine direct supervision for radiologic technologists performing venipuncture, allowing real-time audio oversight with EMR access as an alternative to physical presence.

California’s CA AB-3097, introduced in 2024, aims to establish the Radiologist Assistant Practice Act, formalizing the RA role to boost healthcare efficiency and patient safety. Sponsored by ARRT, the bill sets registration and supervision standards, addressing radiology workforce shortages.

As CMS extends virtual direct supervision for diagnostic tests through December 31, 2025, radiology practices face critical questions about its permanence, application to IDTFs, and practical implementation. Explore expert insights on ensuring compliance and success.

Remote supervision of diagnostic imaging, started in 2020 by CMS, is gaining traction. Industry leaders like RBMA and ACR urge permanence, citing its safety, efficiency, and ability to address radiologist shortages while improving access, especially in rural areas.

CMS guidelines for contrast administration supervision ensure patient safety and compliance in radiology. From in-person mandates to virtual direct supervision extended through 2025, learn how Tether Supervision supports imaging centers with remote radiologist oversight.

Hospitals can now leverage remote supervision for contrast media administration through December 31, 2025, thanks to CMS’s extended virtual direct supervision rules. With a qualified radiologist overseeing via real-time audio-video technology and trained on-site staff ready to respond, this approach boosts efficiency while adhering to strict Medicare and ACR guidelines.

On August 17, 2023, the Alabama State Board of Medical Examiners issued a landmark ruling allowing ARRT-certified radiologic technologists to administer contrast media via IV injection under remote supervision of a board-certified radiologist. With real-time audio-visual technology and an on-site RN or equivalent professional, this decision reflects a shift towards telehealth-driven efficiency while prioritizing patient safety.

Discover how Washington HB 1546 is revolutionizing radiologic technologist supervision by authorizing IV contrast procedures under general supervision. This update boosts efficiency, embraces telemedicine, and enhances patient access to quality diagnostic imaging care.

ASRT reaffirms support for technologist supervision of contrast media administration, bolstering Tether Supervision's virtual supervision model.

CMS proposes extension of remote supervision for contrast-enhanced imaging through 2025 with new proposed Physician Fee Schedule.

Here’s what healthcare providers and patients can expect for virtual direct supervision as we approach 2025

The American College of Radiology (ACR) updates on-site supervision guidelines for contrast studies in CT and MRI

The updated ACR guidelines for the administration of contrast material clearly define new standards aimed at improving patient care in medical imaging.

On February 12th, representatives from the ACR met with CMS to advocate for extending remote diagnostic supervision permanently.

CMS finalizes the 2024 Physician Fee Schedule, extending remote supervision in healthcare through December 31, 2024.

Are EMTs and Paramedics compliant for supervising contrast media in medical imaging? Uncover the legal and regulatory implications.

Uncover the implications of Shore Health's False Claims Act violation due to inadequate direct supervision in medical services billing.

CMS's Calendar Year 2024 Physician Fee Schedule Proposed Rule extends remote direct supervision through 2024 and leaves open the possibility for permanent extension.

Explore the evolving landscape of radiology supervision, from expanded provider roles to immediate availability requirements. Ensure compliance for your radiology practice.

Explore recent cases where evading proper medical supervision in radiology led to significant financial settlements and learn about the hidden costs of neglecting supervision in this revealing blog post.

Discover the complex legal landscape of virtual contrast supervision, covering Medicare requirements, recent ACR and CMS provisions, and the importance of operational compliance.

Your safety and peace of mind are our top priorities at Tether Supervision. Learn how we ensure patient safety with ACR protocols and real-time virtual monitoring.