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<strong>CMS</strong>-1403-FC<br />

state Radioactive Materials licenses, it does not subject<br />

the mobile provider to the same pre-opening inspections<br />

that the fixed sites are subject to. Second, some mobile<br />

providers are able to secure accreditation from certain<br />

accrediting agencies that furnish a global, or “hub”,<br />

accreditation certification.<br />

Response: We thank the commenter for its support.<br />

Comment: One commenter stated that our proposal to<br />

require mobile providers to enroll in Medicare as IDTFs, be<br />

subject to all IDTF performance standards, and to bill<br />

Medicare directly, not only would it create a single,<br />

universal standard for quality among all imaging providers,<br />

but would also level the playing field in the competitive<br />

market for management services for companies which provide<br />

high quality fixed site programs for Medicare-enrolled<br />

physician practices and their Medicare enrollees.<br />

Response: We appreciate the comments and thank the<br />

commenter for their support.<br />

Comment: One commenter supports the proposal<br />

requiring these entities to enroll in Medicare and as such,<br />

for them to be required to abide by applicable Medicare<br />

policies. The commenter continued to state that they do<br />

not oppose the direct billing requirement but that if the<br />

proposal is finalized, <strong>CMS</strong> needs to provide a great amount<br />

213

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