Advanced Diagnostic Imaging Accreditation
Background & Statutory Authority
Section 135(a) of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) amended section 1834(e) of the Social Security Act and required the Secretary to designate organizations to accredit suppliers, including but not limited to physicians, non-physician practitioners and Independent Diagnostic Testing Facilities, that furnish the technical component (TC) of advanced diagnostic imaging (ADI) services. MIPPA further required that ADI suppliers be accredited beginning on January 1, 2012 and thereafter to be entitled to receive reimbursement of Medicare claims for furnishing the TC of ADI imaging services to Medicare beneficiaries.
MIPPA specifically defines advanced diagnostic imaging procedures as including diagnostic magnetic resonance imaging (MRI), computed tomography (CT), and nuclear medicine imaging such as positron emission tomography (PET). The law also authorizes the Secretary to specify other diagnostic imaging services in consultation with physician specialty organizations and other stakeholders.
MIPPA expressly excludes from the accreditation requirement x-ray, ultrasound, and fluoroscopy procedures. The law also excludes from the CMS accreditation requirement diagnostic and screening mammography which are subject to quality oversight by the Food and Drug Administration under the Mammography Quality Standards Act.
Educational Activities and Resources
National Provider Call on Accreditation Requirements for Advanced Diagnostic Imaging Technical Suppliers - Thursday, June 23, 2:30-4pm ET
CMS hosted a National Provider Call on the upcoming mandatory accreditation program for all suppliers that furnish the technical component of advanced diagnostic imaging. Subject matter experts discussed the requirements to meet the Sun Jan 1, 2012, deadline; who these requirements effect; and how to become accredited.
In the "Downloads" section below, you'll find [a] a copy of the slide show presentation used during the call, [b] the written transcript of this call, and [c] a full recording of the entirety of the call, and [d] three podcasts of the call audio.
Medicare Learning Network Special Edition Article #SE1122 – "Important Reminders about Advanced Diagnostic Imaging (ADI) Accreditation Requirements"
MLN Matters Special Edition Article #SE1122 provides guidance on meeting the accreditation requirements established in Section 135(a) of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) for physicians, non-physician practitioners, and Independent Diagnostic Testing Facilities (IDTF) who are suppliers of imaging services and are submitting claims for the Technical Component (TC) of Advanced Diagnostic Imaging (ADI) procedures. The article is informational in nature and supports existing policy. The article can be found in the "Related Links Inside CMS" section below.
Educational Messages sent via the CMS Medicare FFS Provider e-News and Appropriate Listserv
A compilation of the messages sent further explaining Advanced Diagnostic Imaging Accreditation can be found in the "Downloads" section at the bottom of this page.
FAQs on Advanced Diagnostic Imaging Accreditation are available by following the link in the "Related Links Inside CMS" section at the bottom of this page.
Accreditation Organizations for Advanced Diagnostic Imaging Suppliers
The Centers for Medicare & Medicaid Services (CMS) has approved four national accreditation organizations (AOs) -- the American College of Radiology (ACR), the Intersocietal Accreditation Commission (IAC), The Joint Commission (TJC) and RadSite - to provide accreditation services for suppliers of the TC of advanced diagnostic imaging procedures. The accreditation will apply only to the suppliers of the images themselves, and not to the physician's interpretation of the image. All AOs) accreditation organizations have quality standards that address the safety of the equipment as well as the safety of the patients and staff.
The names and contact information for the AOs approved by Medicare to provide accreditation to ADI suppliers are listed below. To obtain additional information about the accreditation process, please contact the AOs shown below.
American College of Radiology (ACR)
1891 Preston White Drive
Reston, VA 20191-4326
Local telephone number: 703-648-8900
Toll-free telephone number: 800-770-0145
Intersocietal Accreditation Commission (IAC)
6021 University Boulevard, Suite 500
Ellicott City, MD 21043
Toll-free telephone number: 800-838-2110
326 First Street, Suite 28
Annapolis, Maryland 21403
Toll-free telephone number: (855) 440-6001
16945 Northchase Drive, Suite 1300
Houston, TX 77060
Toll-free telephone number: (800) 506-2560
The Joint Commission (TJC)
Ambulatory Care Accreditation Program
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
Customer Service: 630-792-5800
Ambulatory Care Accreditation Representative: 630-792-5286
Fax Number: 630-792-5005
Washington DC Office:
601 13th Street, NW
Suite 560 South
Washington, DC 20005
- Medicare Provider-Supplier Enrollment Frequently Asked Questions - Opens in a new window
- CPT4 Codes by Modality - Opens in a new window
- MIPPA Section 135a - Opens in a new window
- American College of Radiology - Opens in a new window
- Intersocietal Accreditation Commission - Opens in a new window
- RadSite - Opens in a new window
- The Joint Commission - Opens in a new window
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