Payment Matters: Accreditation of Advanced Diagnostic Imaging Suppliers Must Be Completed by January 1, 2012

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If you are a supplier of advanced diagnostic imaging services (ADI) and have not yet become accredited, you should start that process now. As part of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), Congress required that suppliers who furnish the technical component (TC) of ADI be accredited effective January 1, 2012. To implement this requirement, the Centers for Medicare and Medicaid Services (CMS) designated three organizations to perform the accreditation:

- The American College of Radiology;

- The Intersocietal Accreditation Commission; and

- The Joint Commission.

ADI procedures include MRIs, CTs, and nuclear imaging, including positron emission tomography. They do not include x-ray, ultrasound, and fluoroscopy procedures. Suppliers who must be accredited include, but are not limited to, physicians, non-physician practitioners, and independent diagnostic testing facilities (IDTFs). Accreditation is required, however, only for suppliers of ADI paid under the Medicare Physician Fee Schedule; it does not apply to ADI services furnished in the hospital outpatient setting.

Please see full publication below for more information.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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