Hospital Providers are Excluded from the Advanced Diagnostic Imaging 
Accreditation Requirement

For Advanced Diagnostic Imaging furnished in a hospital outpatient setting, 
hospital outpatient departments would bill for the technical component of the 
procedure and be paid under Outpatient Prospective Payment System (OPPS).  The 
physician would bill separately for the professional component and be paid 
under the Physician Fee Schedule for professional service.

The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) 
required all suppliers that are paid under the Physician Fee Schedule and 
furnishing the technical component of certain advanced diagnostic imaging to be 
accredited by January 1, 2012.  For more information, please visit 
www.cms.gov/MedicareProviderSupEnroll<http://www.cms.gov/MedicareProviderSupEnroll>.






December

It's a Busy Time of Year. Make each office visit an opportunity to talk with 
your patients about the importance of getting the seasonal flu vaccination and 
a one-time pneumococcal vaccination. Remember, Medicare pays for these 
vaccinations for all beneficiaries with no co-pay or deductible. The seasonal 
flu and invasive pneumococcal disease kill thousands of people in the United 
States each year, most of them 65 years of age or older. The Centers for 
Disease Control and Prevention (CDC) also recommends that health care workers 
and caregivers be vaccinated against the seasonal flu. Protect your patients. 
Protect your family. Protect yourself. Get Your Flu Vaccine - Not the Flu.



Remember - Influenza vaccine plus its administration are covered Part B 
benefits. Note that influenza vaccine is NOT a Part D covered drug. For 
information about Medicare's coverage of the influenza vaccine and its 
administration, as well as related educational resources for health care 
professionals and their staff, please visit the following CMS websites: 
http://www.cms.gov/MLNProducts/Downloads/Flu_Products.pdf and 
http://www.cms.gov/AdultImmunizations.





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