Actually, the Medicare Improvements for Patients and Provider Act (MIPPA) requires accreditation for advanced imaging modalities (CT, MR, PET) in order for the provider to be reimbursed through Medicare. This does NOT include ultrasound at this point. This requires accreditation by 2012.

The CARE Bill (Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Bill) is in Congress again (11 years in a row?) and will probably not pass this year due to partisan bickering. The CARE bill will require credentialing/licensure of the person providing the service, and this does include ultrasound.

ICAVL will require credentialing of all Technical Staff by 2017.

The American Board of Surgery will require any physician who is applying for the Vascular Surgery Boards to have the RPVI credential by 2014.

JPH
---- Original message ----
>Date: Tue, 30 Nov 2010 15:16:32 -0500
>From: UVM Flownet <[log in to unmask]> (on behalf of Claudia Benge <[log in to unmask]>)
>Subject: Re: ABI's in remote locations  
>To: [log in to unmask]
>
>I apologize the information I was given was erroneous.  Claudia
>
>Sent from my iPhone
>
>On Nov 30, 2010, at 2:35 PM, "Wise, Carol" <[log in to unmask]> wrote:
>
>> Claudia,
>> I asked this question to SVU about mandatory vascular accreditation by 1/12.  Sandy Katanick responded back to me that this is not true.  It applies to CT and other modalities but not to Vascular (Care Bill)
>> If you have other info please share your source.
>> Thank you
>> 
>> 
>> Carol Wise, RN, RVT, RDCS
>> Technical Director, Vascular Laboratory
>> Toccoa, GA 30557
>> 
>> ________________________________________
>> From: UVM Flownet [[log in to unmask]] on behalf of Barb B. Lemon [[log in to unmask]]
>> Sent: Tuesday, November 30, 2010 12:40 PM
>> To: [log in to unmask]
>> Subject: Re: ABI's in remote locations
>> 
>> Hi Claudia, Could you please attach a link to the CMS site that spells out this new initiative for 2012?  I have repeated it, but would like the specific link to refer others to.  Thanks so much, Barb
>> 
>> -----Original Message-----
>> From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Benge, Claudia
>> Sent: Wednesday, October 06, 2010 4:18 PM
>> To: [log in to unmask]
>> Subject: Re: ABI's in remote locations
>> 
>> Nancy,
>> 1-1-2012 All vascular studies will need to be performed by an ICAVL or ACR accredited laboratory for payment by a federal or state government insurance plan.  (Medicare/Medicaid).
>> PLEASE... never endorse a brachial stethoscope pressure compared to a Doppler ankle pressure.  It is apples/oranges big time..
>> 
>> If someone does not have the right equipment, education and documentation, they should NOT be performing any type of vascular diagnostic ultrasound examinations.  This is asking for problems.
>> 
>> 
>> Claudia A. Benge
>> 
>> 
>> -----Original Message-----
>> From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Nancy Williams
>> Sent: Wednesday, October 06, 2010 2:07 PM
>> To: [log in to unmask]
>> Subject: ABI's in remote locations
>> 
>> I have been asked if it is acceptable to record a manual Brachial and ankle
>> pressure (for ABI), obtain (with the ultrasound machine) and PRINT Doppler
>> waveforms and code under the #93922. No PVR's would be obtained.
>> I could not find any specific language that says this is not acceptable by
>> CMS. I said that it would not be acceptable at an ICAVL lab as it states the
>> pressures must be obtained with Doppler, but, I wasn't sure about whether or
>> not it was ok for a non ICAVL lab. Anybody have any info for me?
>> 
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