decisionhealth Newsletters, Part B News - 2008 Issue 7 (July)
IDTF rules could apply under proposed rule
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Article Overview
This article explains a CMS proposal in the 2009 Medicare Physician Fee Schedule related to independent diagnostic testing facilities (IDTFs). It is aimed at readers who track Medicare enrollment and compliance policy, especially physicians, nonphysician practitioners, and diagnostic testing providers. The piece covers the proposed expansion of IDTF-related oversight under 42 CFR 410.33, the types of provider organizations affected, the compliance areas CMS proposed to address, and the broader question of whether the rules should apply only to higher-cost diagnostic tests and equipment-heavy services.
Why This Topic Matters
The proposal could affect how diagnostic testing services are enrolled, billed, and audited under Medicare. Organizations that provide imaging and other diagnostic services would need to understand the scope of the rulemaking and the potential compliance consequences.
What You Will Learn
- What CMS proposed regarding IDTF oversight and enrollment
- Which provider organizations could be affected by the proposal
- What categories of diagnostic testing CMS was considering for expanded requirements
- How the proposal fits into the 2009 Medicare Physician Fee Schedule rulemaking process
Who Should Read This
- Physicians
- Nonphysician practitioners
- Diagnostic testing facility administrators
- Medical coders
- Compliance officers
- Revenue cycle staff
- Healthcare attorneys
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