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Accreditation

Delayed Status

The Intersocietal Accreditation Commission (IAC) is not a pass/fail organization. If a facility does not meet all requirements, IAC issues a Delayed Status.
IAC provides a detailed list of any items that need to be addressed. CardioServ can address all these needs, work with your facility and submit the rectification package on your behalf.
CardioServ also helps you to address deficiencies identified through ACR and The Joint Commission
You will receive any necessary training during the rectification process to ensure full comprehension and ongoing compliance.

Accreditation

Audits

All accrediting organizations have an audit system. IAC issues mid-cycle online audits after a facility has earned accreditation, with a very few labs randomly selected for either a virtual or an on-site audit.
ACR requires you to remain audit ready as all ACR accredited facilities face the possibility of an unannounced site visit.
The Joint Commission performs an on-site audit (survey) of your facility prior to granting accreditation. Your surveyor will provide you with feedback and any follow up expectations.
CardioServ can assist you with your online, virtual or site visit audits.

Accreditation

Facility Changes

From time to time changes may occur within your facility that require adjustments to your current accreditation. CardioServ assists with all changes including:
The implications of changes to your application depends on if you are accredited with IAC, ACR or TJC. CardioServ will guide you every step of the way.

Accreditation

MIPS

The process of accreditation is recognized by Medicare as an Improvement Activity to satisfy a component of the MIPS Improvement Activity score. CardioServ will assist with the implementation and documentation of the required 90 day activity and report via attestation to CMS.
Take advantage of activities you are already completing for accreditation to earn points towards your total MIPS score. Avoid -9% loss in Medicare reimbursement and aim for the highest points with the highest potential for positive reimbursement adjustments.

Accreditation

MOC

IAC has launched a Quality Improvement MOC Activity. Participants are eligible to receive 25 ABP and/or 20 ABIM Practice Assessment MOC Points.
Completion of this activity will also satisfy the ABR ‘Part IV: Participatory Quality Improvement (PQI)’ Activity requirement for a three-year period and/or the ABNM MOC Part 4 QI Activities annual requirement.
CardioServ will assist with the registration, implementation and documentation required to onvert your ongoing quality improvement program into MOC points.
Take advantage of activities you are already completing for accreditation to earn MOC points.

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Accreditation

Accrediting Bodies

Intersocietal Accreditation Commission (IAC)

Originally, known as: ICAEL (echo), ICAVL (vascular), ICANL (nuclear), until incorporating all of its divisions into one organization (IAC) in 2008.
IAC requires the submission of abnormal case studies to ensure that pathology is captured and interpreted correctly. There is a focus on report completeness and quality improvement measures.
IAC is not a pass/fail organization but rather a Delayed Status is issued for any facility not meeting the requirements with their first submission.
A detailed list of needed items is supplied by IAC, making rectification an easy process.

American College of Radiology (ACR)

ACR provides accreditation in Vascular Ultrasound and Nuclear Cardiology.
ACR requires the submission of normal case studies, unlike IAC that requires abnormal cases. With ACR there is a greater focus on the quality control of medical equipment, to ensure quality diagnostic medical imaging.
ACR IS a pass/fail organization. There is a process to repeat your accreditation after reviewing your deficiencies, but there is an additional fee to re-apply.
Virtual or onsite audits are issued randomly to facilities. Not all facilities receive an onsite audit but it is recommended to remain audit ready.

The Joint Commission (TJC)

The Joint Commission offers an Advanced Imaging Services Accreditation. After submitting your application with TJC you will be assigned your own Joint Commission account executive to help guide you through the process.
All facilities seeking accreditation through TJC require an onsite survey. Any areas for improvement will be outlined by your surveyor and you have 30 days to address the concerns.

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