Nuclear Accreditation and Reimbursement
Accreditation as a REQUIREMENT for Medicare Reimbursement
| When? | January 1, 2012 |
| Who? |
All providers that bill under Part B of Medicare Private outpatient facilities only, NOT to hospitals |
| What? | Nuclear, CT, MRI, Breast MRI and PET |
Important: Medicare does not accept “applied”, “under review” or “provisional” accreditation. You will not receive Medicare reimbursement until you are granted accreditation. Applications both through the Intersocietal Accreditation Commission and the American College of Radiology require a 90 day review process! Avoid loss of insurance reimbursement – ACT NOW!
Nuclear Medicine is an advanced imaging modality and accreditation is required under the new MIPPA CMS requirement that becomes effective on January 1st, 2012.
All providers of Nuclear Medicine (that bill under Part B of the Medicare Physician Fee Schedule) must be accredited by January 1st, 2012 in order to receive payment for the technical component of these services. Currently, the CMS/MIPPA mandates apply to private outpatient facilities only, NOT to hospitals.
Learn more about the Medicare Improvements for Patients and Providers Act (MIPPA) <MIPPA/CMS Requirements>
For additional reimbursement requirements, including private / third party insurers refer to ICANL’s website.
http://www.intersocietal.org/icanl/main/payment_policies.htm
Always contact the insurance carriers in your area for the most accurate and current information.
Have questions? Call CardioServ, LLC today 800-964-1372