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Direct supervision is required for various types of services, including most incident-to services under 410.26, many diagnostic tests under 410.32, pulmonary rehabilitation services under 410.47, cardiac rehabilitation and intensive cardiac rehabilitation services under 410.49, and certain hospital outpatient services as provided under 410.27(a)(1)(iv)

For impact analysis, for ground ambulance transports that provide WBT only and currently do not qualify for ALS2 payment, we are assuming that these transports are reported as ALS1 (advanced life support, level 1) emergencies

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