Medicare Compliance & Reimbursement - 2011 Issue 28
Reader Question: Blink And You'll Have Missed Specialty Code 95
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Article Overview
This article addresses a Medicare enrollment and accreditation update related to advanced diagnostic imaging (ADI). It explains why a previously announced specialty code change was reversed, notes the role of CMS systems and accrediting organizations, and provides context for readers who handle provider enrollment, compliance, or imaging accreditation workflows.
Why This Topic Matters
It helps provider enrollment, compliance, and imaging billing staff understand a CMS coding and accreditation update that affects how ADI-related status is tracked and verified.
Article Sections
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Question
A reader asks when specialty code 95 would be used in connection with ADI accreditation.
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Answer
A brief response stating that the specialty code is not used for ADI accreditation.
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History
Background on CMS transmittals and the change in how the specialty code is defined, including mention of PECOS and accreditation verification.
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Caution
A cautionary note about accreditation timing and CMS verification for Medicare beneficiaries receiving ADI-related technical component services.
What You Will Learn
- How the article frames a CMS specialty code update in relation to ADI accreditation
- The role of CMS transmittals in documenting the change
- How accreditation verification is described in the enrollment context
- Who should pay attention to this type of Medicare administrative update
Who Should Read This
- Medical coders
- Provider enrollment staff
- Compliance staff
- Radiology billing staff
- Healthcare administrators
Codes Discussed
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