Health Information Management

Healthcare News: CMS accreditation requirements for diagnostic imaging apply only to physician fee schedule services

JustCoding News: Inpatient, February 17, 2010

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On January 26, CMS published a notice approving three national organizations—the American College of Radiology, the Intersocietal Accreditation Commission, and The Joint Commission (formerly JCAHO)—to accredit suppliers furnishing the technical component of advanced diagnostic imaging procedures.

After the organization received queries from hospitals, CMS reassured hospitals that they do not need to be become accredited to furnish the technical component of advanced diagnostic imaging services, according to the February 4 issue of the American Hospital Association’s AHA News Now.

The accreditation requirement applies to physicians, non-physician practitioners, and physician and non-physician organizations that are paid for providing the technical component of advanced imaging services under the Medicare physician fee schedule. The requirement does not apply to services paid under the hospital inpatient and outpatient prospective payment systems.

The Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 requires all suppliers of the technical component to become accredited by January 1, 2012. MIPPA specifically defines advanced diagnostic imaging procedures as including diagnostic magnetic resonance imaging, computed tomography, and nuclear medicine imaging such as positron emission tomography.

Access the CMS Web site for more information.

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