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19.02.2013 Views

CMS-1403-FC Response: We agree that certification by the ARRT is widely recognized; however, ARRT certification is voluntary, and therefore, may not be required as a condition of employment. Requiring ARRT certification would present an additional expense and testing obligation that individuals who are otherwise qualified might not choose to incur. Such a requirement would also make it necessary for those who are already working in the field to obtain ARRT certification if they are not already certified. The goal of our proposed revision was to update our regulations to reflect the accurate accrediting entity and program requirements for x-ray technology programs. As it stood, the regulation was inaccurate by referencing organizations that no longer approve and accredit x-ray technology programs, and by specifying an outdated 24-month program requirement. It was not our intention to consider imposing new or additional qualification requirements for technicians. In accordance with existing regulations, we will continue to recognize as qualified those individuals who have successfully completed a program of formal training in x-ray technology in a school approved by the JRCERT, as well as those who have earned a bachelor’s or associate 720

CMS-1403-FC degree in radiologic technology from an accredited college or university. States will continue to have the autonomy to utilize the ARRT exam for State licensing purposes. After reviewing the public comments, we are finalizing the provisions as proposed. S. Other Issues 1. Physician Certification (G0180) and Recertification (G0179) for Medicare-Covered Home Health Services under a Home Health Plan of Care (POC) in the Home Health Prospective Payment System (HH PPS) In the CY 2009 PFS proposed rule (73 FR 38578), we solicited public comments on policy options regarding physician involvement in the certification and recertification for Medicare-covered home health services under a home health plans of care (POC), payment for those services, and the basis for those payments (relative resources measured in RVUs). Currently, we pay physicians for both the certification and recertification of home health POCs under HCPCS codes G0180 and G01779, respectively. We make payment for these services through the PFS. In the CY 2009 PFS proposed rule, we expressed our concern that physician involvement in the home health POC may not be as extensive as we had hoped. We recognize that 721

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

Response: We agree that certification by the ARRT is<br />

widely recognized; however, ARRT certification is<br />

voluntary, and therefore, may not be required as a<br />

condition of employment. Requiring ARRT certification<br />

would present an additional expense and testing obligation<br />

that individuals who are otherwise qualified might not<br />

choose to incur. Such a requirement would also make it<br />

necessary for those who are already working in the field to<br />

obtain ARRT certification if they are not already<br />

certified.<br />

The goal of our proposed revision was to update our<br />

regulations to reflect the accurate accrediting entity and<br />

program requirements for x-ray technology programs. As it<br />

stood, the regulation was inaccurate by referencing<br />

organizations that no longer approve and accredit x-ray<br />

technology programs, and by specifying an outdated 24-month<br />

program requirement. It was not our intention to consider<br />

imposing new or additional qualification requirements for<br />

technicians.<br />

In accordance with existing regulations, we will<br />

continue to recognize as qualified those individuals who<br />

have successfully completed a program of formal training in<br />

x-ray technology in a school <strong>approved</strong> by the JRCERT, as<br />

well as those who have earned a bachelor’s or associate<br />

720

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