Get Accredited Now for Advanced Diagnostic Imaging


As a reminder, beginning Sun Jan 1, 2012, suppliers who furnish the technical 
component of Advanced Diagnostic Imaging (ADI) must be accredited in order to 
bill Medicare for these services.  ADI procedures include MRI, CT, nuclear 
medicine imaging, and positron emission tomography.  X-ray, ultrasound, 
fluoroscopy, and Hospital Outpatient procedures are excluded.  The technical 
component of ADI services includes the performance of the imaging procedures, 
not the physician interpretation.



For dates of service on or after Jan 1, Medicare Administrative Contractors 
(MACs) will begin denying claims for the technical component of ADI that are 
submitted under the Physician Fee Schedule by suppliers who have not yet been 
accredited.  Once a supplier becomes accredited, they can begin billing 
Medicare for these services again.



For more information about ADI Accreditation, including a list of accrediting 
organizations and details of the accreditation process, please visit 
http://www.CMS.gov/MedicareProviderSupEnroll/03_AdvancedDiagnosticImagingAccreditation.asp<http://www.cms.gov/MedicareProviderSupEnroll/03_AdvancedDiagnosticImagingAccreditation.asp>.
  An MLN Special Edition Article on this subject - "Important Reminders about 
Advanced Diagnostic Imaging Accreditation Requirements" (MLN SE1122) - is also 
available at 
http://www.CMS.gov/MLNMattersArticles/Downloads/SE1122.pdf<http://www.cms.gov/MLNMattersArticles/Downloads/SE1122.pdf>.




Each Office Visit is an Opportunity. Medicare patients give many reasons for 
not getting their annual flu vaccination, but the fact is that flu seasons are 
unpredictable and can be severe. Each year, it is estimated that 90 percent of 
seasonal flu-related deaths and more than 60 percent of seasonal flu-related 
hospitalizations occur in people 65 years and older. Please talk with your 
Medicare patients about the importance of getting their annual flu vaccination. 
And remember, vaccination is important for healthcare workers too, who may 
spread the flu to high risk patients. Don't forget to immunize yourself and 
your staff. Protect your patients. Protect your family. Protect yourself. Get 
the Flu Vaccine-Not the Flu.


Remember - The flu vaccine plus its administration are covered Part B benefits. 
 CMS has posted the 2011-2012 seasonal flu vaccine payment limits at 
http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp.  Note that 
the flu vaccine is NOT a Part D-covered drug.

For more information on coverage and billing of the flu vaccine and its 
administration, as well as related educational provider resources, visit 
http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp and 
http://www.cms.gov/immunizations.



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