decisionhealth Newsletters, decisionhealth - 2011 Issue 3 (March)
Advanced imaging enrollment rule won't hit in July, but you should start early
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Article Overview
This article covers CMS guidance on the timing of the Medicare advanced imaging enrollment requirement and the related updates to enrollment forms and the PECOS system. It is relevant to providers, billing staff, and practice administrators who need to understand accreditation, enrollment maintenance, and the administrative changes affecting advanced imaging billing. The article also summarizes CMS’s stated approach to reducing enrollment burden and notes concerns raised by physician groups about system capacity.
Why This Topic Matters
Providers billing advanced imaging services need to know when the enrollment requirement takes effect and what administrative updates may be needed in advance. The article helps practices anticipate changes to Medicare enrollment workflows and prepare for accreditation and system updates.
Article Sections
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Timing and preparation for the Medicare enrollment change
Covers the implementation timeline, early preparation considerations, and the broader Medicare enrollment context for advanced imaging services.
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Approved accrediting organizations and enrollment updates
Summarizes the organizations recognized for accreditation and the related Medicare enrollment information that practices are expected to maintain.
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Expected CMS-855 and PECOS system updates
Describes planned changes to paper enrollment forms and the online enrollment system to support the new information requirements.
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Claims processing changes and provider concerns
Notes the planned claims processing review beginning in 2012 and concerns from physician organizations about enrollment system performance.
What You Will Learn
- How CMS framed the implementation timing for the advanced imaging enrollment requirement
- What types of enrollment and accreditation preparation the article discusses
- What system updates CMS planned for paper forms and the online enrollment platform
- What broader operational concerns were raised by provider groups
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Practice administrators
- Radiology practices
- Physician group managers
Codes Discussed
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