US · guidance
CMS SOM App. A, Tag A-0658
§482.30(f) Standard: Review of Professional Services
The committee must review professional services provided, to determine medical necessity
and to promote the most efficient use of available health facilities and services.
Interpretive Guidelines §482.30(f)
“Professional” services means the services provided by practitioners, including both physicians
and non-physician practitioners.
The review includes medical necessity and efficient use of available health facilities and
services. Examples of topics a committee may review are:
• Availability and use of necessary services - underused, overuse, appropriate use
• Timeliness of scheduling of services - operating room, diagnostic
• Therapeutic procedures
Survey Procedures §482.30(f)
Determine that the committee performs a review of professional services.
History
Rev. 137, Issued: 04-01-15, Effective: 03-27-15, Implementation: 03-27-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
e7a7acdab18decdae8304c6bd900bf4a0481bd9c4bf5e3862c492d32c128f56f
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