decisionhealth Newsletters, Part B News - 2011 Issue 3 (March)
Massive enrollment burden will hit practices that bill advanced imaging services in 2012
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Article Overview
This article covers Medicare enrollment changes tied to advanced imaging accreditation and the PECOS enrollment system. It is aimed at providers, practice managers, and billing/enrollment staff who need to understand the scope of the new reporting burden, the types of imaging services affected, and the operational impact of additional enrollment and accreditation requirements. The discussion also touches on CMS communications, accrediting organizations, and related enrollment workflow changes.
Why This Topic Matters
The article is relevant because it describes a new administrative burden for practices that bill advanced imaging services and highlights workflow, system, and accreditation issues that could affect enrollment readiness and compliance planning.
Article Sections
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Advanced imaging enrollment requirements
This section discusses Medicare enrollment changes tied to advanced imaging services and the types of information practices are expected to report. It also notes the timing of the new requirement and the scope of services and modalities involved.
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Accreditation oversight and inspections
This section summarizes the broader accreditation process and the kinds of site reviews and record checks described by CMS. It also references the accrediting organizations involved.
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CPT code reporting burden and PECOS system issues
This section covers the administrative impact on practices and the strain placed on the PECOS enrollment system. It also discusses CMS efforts to manage code changes and related processing concerns.
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Additional PECOS burdens eyed
This section introduces a proposed surrogate enrollment process and related login and password considerations. It explains that CMS had delayed implementation and had not finalized the program details.
What You Will Learn
- How advanced imaging accreditation affects Medicare enrollment processes
- What broad categories of imaging services are included in the discussion
- How PECOS-related enrollment workflows may change
- What kinds of oversight activities are associated with accreditation
- Why practices may face added administrative burden when reporting enrollment information
Who Should Read This
- Physician practices
- Practice managers
- Medical billing staff
- Enrollment specialists
- Radiology and imaging providers
- Medicare compliance personnel
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