New Medicare Requirements for "Advanced" Diagnostic Imaging


Beginning January 1, 2012, physician offices and other independent suppliers that furnish the technical component of advanced diagnostic imaging services must be accredited by a CMS-approved accreditation organization in order to receive payment under the Medicare Physician Fee Schedule.

CMS has designated three entities as nationally accredited organizations: the American College of Radiology, the Inter Societal Accreditation Commission and the Joint Commission Ambulatory Accreditation Program. These three organizations will provide accreditation services for suppliers wishing to qualify and bill for the technical component of advanced diagnostic imaging procedures. Hospitals are exempt from the new rules.

Advanced diagnostic imaging (ADI) procedures include magnetic resonance imaging (MRI), computed tomography (CT), and nuclear medicine imaging, including positron emission tomography (PET). Standard x-rays, fluoroscopy, and ultrasound are excluded from the requirement.

Any physician’s office or independent diagnostic testing facility(IDTF) that historically has provided ADI services must be accredited by January 1, 2012, or future Medicare claims will be denied. CMS estimates that the accreditation process will take up to five months and encourages suppliers to apply for accreditation immediately. Some of the quality standards that will be evaluated include...

Please see full alert below for more information.

LOADING PDF: If there are any problems, click here to download the file.

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.

© Jackson Walker | Attorney Advertising

Written by:


Jackson Walker on:

Readers' Choice 2017
Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*By using the service, you signify your acceptance of JD Supra's Privacy Policy.

Already signed up? Log in here

*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.