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UnitedHealth Group Extends Deadline Requiring Accreditation For Nuclear Medicine, Nuclear Cardiology, and PET Imaging


AUGUST 21, 2008 | FOR IMMEDIATE RELEASE


UnitedHealth Group (UnitedHealthcare), regarding its announcement requiring all participating, freestanding imaging facilities and physician offices performing Nuclear Medicine, Nuclear Cardiology, PET, Echocardiography, CT, CTA, MRI, and MRA procedures to obtain accreditation as a condition for reimbursement, has extended its original March 1, 2008 deadline for this requirement until the fourth quarter of 2009.

In the revised announcement, UnitedHealthcare states that, beginning in the fourth quarter of 2009, all participating, freestanding facilities and physician offices performing CT, CTA, MRI, MRA, Nuclear Medicine/Cardiology, PET, and Echocardiography will need to complete and submit an application in order to receive full payment.

Still completing your application?
Laboratories who have not yet submitted their applications should use this additional time wisely to ensure the submission of a more complete and thorough application, thus increasing the laboratory’s chances of achieving granted status.  Your laboratory is also encouraged to apply as early as possible prior to the new deadline set for the fourth quarter of 2009; doing so will allow the IAC to provide the best, most efficient service possible.

Already submitted your application?
Laboratories who have diligently completed and submitted their applications in order to meet the original UnitedHealthcare deadline can now rest assured in knowing they are one step ahead.  The hard work and early efforts demonstrated by these laboratories place them in compliance with the UnitedHealthcare requirement; therefore they will not need to do anything further at this time.  The timely application submission also gives these laboratories the advantage of avoiding the rush of submissions by laboratories that are now busy completing their applications for the new deadline set for the fourth quarter of 2009.


Have Questions About UnitedHealthcare?

Would you like to know more about the UnitedHealthcare requirement? For the details and official guidelines from UnitedHealthcare:


Have Questions About ICANL Accreditation?

For help and information regarding the ICANL accreditation process, laboratories are encouraged to visit the website at www.icanl.org. Personalized assistance with the accreditation process can be obtained by calling the ICANL office at 800-838-2110, or via email using the online staff directory.

 

 

Attention Nuclear Laboratories Using New Technologies


The ICANL Board of Directors has agreed to accept applications from laboratories utilizing new technologies and other novel imaging approaches that to date are not included in any guidelines published by the professional societies. These laboratories will be eligible for a one year provisional accreditation while undergoing additional review. Laboratories will be required to provide additional documentation, beyond what is included in the current application, which may include but not be limited to phantom images, clinical outcomes and/or correlation data and may potentially incur additional fees.

The use of regadenoson has been approved by ASNC and is in the process of being incorporated into the ASNC Imaging Guidelines for Stress Protocols. Laboratories using this stress agent consistent with approved protocols are eligible to apply for ICANL accreditation without any additional documentation.

To view the updated ASNC guidelines for stresstesting, go to www.asnc.org/section_73.cfm

 

HIPAA Compliance And Your Laboratory




A number of ICANL accreditation applicants, along with applicants to other Intersocietal Accreditation Commission (IAC) sister organizations, have recently inquired into what steps they should be taking now in order to comply with the privacy standards that have been promulgated under the Administrative Simplification Provisions of the Health Insurance Portability and Accountability Act (HIPAA). As many of you know, on April 12, 2001, Tommy Thompson, Secretary of Health and Human Services (HHS) announced that these standards would proceed to an implementation stage beginning April 14, 2001. However, it is important to remember a couple of points before considering any changes in the way information is used, including in the provision of information to the IAC.

First, although the standards have been finalized, entities covered by the standards, such as vascular, echocardiography, nuclear medicine and magnetic resonance imaging laboratories which engage in electronic standard transactions, have two years from the effective date to come into compliance with the standards. This means that covered entities have until April 14, 2003 to comply with the standards. HHS indicated in the Preamble to the standards that it will not seek the imposition of penalties prior to the compliance date.

Second, in his announcement, Mr. Thompson referred to the possibility of further changes to the privacy standards when he stated that HHS will be issuing guidelines which "...will allow us to clarify some of the confusion regarding the impact this rule might have on health care delivery and access." He also added that "...we will consider any necessary modifications that will ensure the quality of care does not suffer inadvertently from this rule." In fact, the IAC is currently working with representatives of HHS to see that certain clarifications or modifications are made to the standards to ensure that the standards do not undermine accreditation functions and jeopardize quality of care.

So, in considering compliance with HIPAA's privacy standards, accreditation applicants should realize in determining how and what information to provide the ICANL and other accrediting bodies of the IAC that they are not required to meet the privacy standards prior to April 14, 2003.


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