REIMBURSEMENT AND THE CT LABORATORY: AN OVERVIEW
The
Intersocietal Accreditation Commission (IAC) receives numerous
phone calls and emails each week from laboratories who are concerned
with their compliance to state Medicare and private insurers' payment policies.
Over the past few years, payment policies have been adopted by several insurers for the reimbursement of CT procedures,
requiring accreditation of the laboratory. Then in July 2008, the U.S. Congress passed the Medicare Improvements for Patients and Providers Act (MIPPA), a new law stating that by January 1, 2012, all nonhospital providers of advanced diagnostic imaging, inclusive of Nuclear Medicine, MR, CT and PET, must obtain accreditation as a condition for reimbursement. The IAC recently received recognition by the Centers for Medicare & Medicaid Services (CMS) as a designated accreditation organization for MIPPA. Read more.>>
A
listing of payment policies of which the ICACTL is currently aware can
be found on this website under Payment
Policies. |
MEDICARE
REIMBURSEMENT AND THE ICACTL |
|
THE ICACTL DOES:
Attempt to stay abreast of Medicare and private payer policies
as a service to the computed tomography community.
Communicate information to computed tomography laboratories about
Medicare and private payer policies (through the ICACTL
web site and mailings to laboratories).
Employ knowledgeable staff to assist laboratories with basic
questions about payment policies.
Provide, upon request, the same information to Medicare and private
payers as we publish in the accredited laboratory listing
on the website.
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THE ICACTL DOES NOT:
Establish rules or regulations for Medicare or private insurance
carriers.
Have the authority to make decisions regarding implementation
dates, extensions, etc.
Have
responsibility for notifying providers of computed tomography
testing services of Medicare or private payer policies. |
General questions about payment policy and reimbursement may be directed to Tamara
Sloper, IAC Marketing Director.
She may be contacted at 800-838-2110, or via email at sloper@intersocietal.org. |
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