tci Medicare Compliance & Reimbursement - 2010 Issue 11
Medicare Payment: Medicare Officials Urge Advanced Imaging Providers Toward Accreditation
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Article Overview
This Medicare payment article covers CMS comments on accreditation expectations for providers that perform advanced diagnostic imaging in-office, plus related operational issues raised during an Open Door Forum. It is relevant to physicians, imaging practices, billing staff, and compliance professionals who need to track Medicare enrollment, supplier requirements, and claims-processing timing. The article also notes which imaging modalities are excluded from the accreditation requirement and discusses the status of PECOS-related compliance and potential claim adjustments.
Why This Topic Matters
Practices that furnish imaging services or manage Medicare billing need to understand current CMS operational guidance so they can assess whether their services fall within accreditation and enrollment-related requirements. The article helps readers monitor administrative changes that may affect Medicare claim submission, supplier status, and payment processing.
Article Sections
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Advanced Imaging Accreditation Guidance
CMS comments on accreditation expectations for certain office-based imaging services and identifies the organizations referenced for accreditation. The section also notes which broad imaging categories are treated separately from this requirement.
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CMS Works Around Question on PECOS July Compliance Date
This section addresses CMS discussion of the July compliance timing for PECOS-related enrollment status and what CMS said about the implementation schedule. It focuses on the administrative update rather than any specific claim outcome.
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Don't Look for Claim Adjustments Just Yet
CMS staff comments on the status of claim adjustments tied to Medicare Physician Fee Schedule changes are summarized here. The section covers the operational uncertainty discussed during the forum call.
What You Will Learn
- What CMS discussed regarding accreditation for office-based advanced diagnostic imaging
- Which broad categories of imaging services were discussed in relation to the accreditation topic
- How CMS framed the timing of PECOS-related compliance changes
- What CMS said about the status of claim adjustments tied to Medicare Physician Fee Schedule changes
- Which organizations CMS referenced in connection with accreditation resources
Who Should Read This
- Physicians
- Imaging providers
- Medical billing professionals
- Practice managers
- Compliance staff
- Medicare enrollment staff
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