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

Comment: One commenter states that they believe that<br />

the provision of diagnostic and other therapeutic services<br />

by a contracted provider to registered inpatients and<br />

outpatients is fully consistent with longstanding Medicare<br />

provisions expressly permitting hospitals to furnish<br />

services directly or “under arrangements,” and that the<br />

mobile entities that may furnish these services under<br />

arrangement would not bill directly for their services but<br />

would be under the control of another entity.<br />

Response: We agree with the commenter and although we<br />

are requiring all mobile entities that provide diagnostic<br />

testing services to enroll in the Medicare program, we are<br />

not requiring mobile testing entities to bill directly for<br />

the services they furnish when such services are furnished<br />

under arrangement to hospitals.<br />

After reviewing public comments, we are finalizing the<br />

provision at §410.33(g)(16), which would require that<br />

entities furnishing mobile diagnostic services enroll in<br />

Medicare program as an IDTF regardless of where the<br />

services are furnished. By enrolling in the Medicare<br />

program, <strong>CMS</strong> or our contractor can determine if the mobile<br />

IDTF meets all of the performance standards found in<br />

§410.33(g) and that its owners are not otherwise excluded<br />

or barred from participation in the Medicare program. We<br />

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