Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC provision and we will consider finalizing this provision in a future rulemaking effort if we deem it necessary. Section 135 of the MIPPA requires that the Secretary establish an accreditation process for those entities furnishing advanced diagnostic testing procedures which include diagnostic magnetic resonance imaging, computed tomography, and nuclear medicine (including positron emission tomography), and other such diagnostic testing procedures described in section 1848(b)(4)(B) of the Act (excluding X-ray, ultrasound, and fluoroscopy) by January 1, 2012. Accordingly, we are not adopting our proposal to require physicians and NPPs to meet certain quality and performance standards when providing diagnostic testing services, except mammography services, within their medical practice setting and have removed the paperwork burden and regulatory impact analysis associated with this provision in this final rule with comment period. 2. Mobile Entity Billing Requirements To ensure that entities furnishing mobile services are providing quality services and are billing for the diagnostic testing services they furnish to Medicare beneficiaries, we proposed a new performance standard for mobile entities at §410.33(g)(16), which would require that 210
CMS-1403-FC entities furnishing mobile diagnostic services enroll in Medicare and bill directly for the mobile diagnostic services that they furnish, regardless of where the services are furnished. We believe that entities furnishing mobile diagnostic services to Medicare beneficiaries must be enrolled in the Medicare program, comply with the IDTF performance standards, and directly bill Medicare for the services they furnish. While we understand that a mobile entity can furnish diagnostic testing services in various types of locations, we stated that we believe that it is essential that mobile entities use qualified physicians or nonphysician personnel to furnish diagnostic testing procedures and that the enrolled mobile supplier bill for the services furnished. We maintain that it is essential to our program integrity and quality improvement efforts that an entity furnishing mobile diagnostic testing services complies with the performance standards for IDTFs and bill the Medicare program directly for the services furnished to Medicare beneficiaries. Since we believe that most mobile entities are already billing for the services they furnish, whether the service was provided in a fixed-based location or in a mobile facility, we proposed that this provision would be 211
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<strong>CMS</strong>-1403-FC<br />
provision and we will consider finalizing this provision in<br />
a future rulemaking effort if we deem it necessary.<br />
Section 135 of the MIPPA requires that the Secretary<br />
establish an accreditation process for those entities<br />
furnishing advanced diagnostic testing procedures which<br />
include diagnostic magnetic resonance imaging, computed<br />
tomography, and nuclear medicine (including positron<br />
emission tomography), and other such diagnostic testing<br />
procedures described in section 1848(b)(4)(B) of the Act<br />
(excluding X-ray, ultrasound, and fluoroscopy) by<br />
January 1, 2012.<br />
Accordingly, we are not adopting our proposal to<br />
require physicians and NPPs to meet certain quality and<br />
performance standards when providing diagnostic testing<br />
services, except mammography services, within their medical<br />
practice setting and have removed the paperwork burden and<br />
regulatory impact analysis associated with this provision<br />
in this final rule with comment period.<br />
2. Mobile Entity Billing Requirements<br />
To ensure that entities furnishing mobile services are<br />
providing quality services and are billing for the<br />
diagnostic testing services they furnish to Medicare<br />
beneficiaries, we proposed a new performance standard for<br />
mobile entities at §410.33(g)(16), which would require that<br />
210