Reimbursement and the MRI Laboratory: An Overview
THE ICAMRL DOES:
Attempt to stay abreast of Medicare and private payer policies as a service to the MRI community.
Communicate information to MRI laboratories about Medicare and private payer policies (through the ICAMRL website, newsletter articles and other mailings to laboratories).
Employ knowledgeable staff to assist laboratories with basic questions about payment policies.
Provide, upon request, the same information to insurance carriers as we publish in the accredited laboratory listing on the website. |
THE ICAMRL 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 magnetic resonance testing services of Medicare or private payer policies.
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The Intersocietal Accreditation Commission (IAC) receives numerous phone calls and e-mails each week from laboratories who are concerned with their compliance to private insurers' payment policies.
Over the past few years, payment policies have been adopted by several insurers for the reimbursement of MR 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.
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A listing of payment policies of which the ICAMRL is currently aware can be found on this website under Payment Policies.
Tamara Sloper, IAC Marketing Director, is available to answer your general questions about payment policy and reimbursement. She may be contacted at 800-838-2110 or via e-mail at sloper@intersocietal.org. |
