CMS says unaccredited advanced imaging claims will be denied

Why This Topic Matters

Providers billing advanced imaging services need to understand how accreditation status and enrollment processes can affect whether claims are paid. The article also highlights administrative friction in PECOS that may influence how organizations prepare and submit information for Medicare participation.

Article Sections

1. CMS policy on advanced imaging accreditation and billing

   Discusses CMS requirements tied to advanced imaging enrollment and the effect on Medicare billing for technical component services. It also addresses the timing of when services become billable under the policy.

2. PECOS enrollment workflow and provider input requirements

   Describes how provider and supplier information is entered in PECOS and the practical burdens involved in submitting enrollment details. It focuses on the administrative process and system input structure.

3. Code list support and contractor involvement

   Covers CMS comments on code-list availability and the role of Medicare Administrative Contractors in assisting providers. It also notes how contractors may help with the enrollment preparation process.