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American Association of Oral and Maxillofacial Surgeons

Practice Management & Allied Staff News & Materials

Advanced Imaging Accreditation (UPDATE)

January 31st, 2012

Many OMS may have been informed by Medicare that accreditation will be required in order to render advanced imaging services to Medicare beneficiaries beginning January 1, 2012. The Medicare Improvements for Patients and Providers Act of 2008 (MIPAA) requires Medicare providers rendering the technical component of advanced imaging services (including computed tomography), to obtain accreditation from one of three approved accrediting bodies by January 1, 2012. By obtaining accreditation, the provider will demonstrate compliance with certain standards for use; that operator and staff training have been met; as well as that quality assurance and safety measures have been satisfied.

The AAOMS recently became a sponsoring organization of the Computed Tomography (CT) division of the Intersocietal Accreditation Commission (IAC) to help develop the IAC standards and the corresponding application for the dental practice and/or dental specialty practice performing diagnostic and/or treatment planning maxillofacial CT examinations using a cone beam CT system.

Such accreditation will be necessary in order to receive Medicare reimbursement for utilizing services. The standards and corresponding online application available are now available. If you are using cone beam CT scanners, visit www.icactl.org for program updates as Medicare reimbursements will hinge on accreditation. Further information about the application or the reimbursement aspect can also be obtained by calling IAC at 800-838-2110.

On a related note, the AAOMS has recently become aware that Aetna, Anthem, and Humana have implemented similar accreditation requirements for rendering advanced imaging services. The accreditation criteria that the AAOMS has developed with the IAC should fulfill the accreditation requirements of these carriers. However, if notified by a third party payer regarding accreditation by another organization not named by Medicare, it may be helpful to encourage the carrier to streamline its imaging accreditation requirements in line with Medicare's.

For more information on the about Medicare Advanced Diagnostic Imaging (ADI) Accreditation Requirements please visit the CMS website.