Documenting Your CT Facility's NEMA XR-29-2013 Compliance

Background on NEMA XR-29-2013

Section 218(a) of the Protecting Access to Medicare Act (PAMA) of 2014 requires that Advanced Diagnostic Imaging (ADI) suppliers and hospital outpatient centers providing CT services meet safety requirements under National Electrical Manufacturers Association (NEMA) Standard XR-29-2013, effective January 1, 2016.

In order to comply with NEMA XR-29-2013 requirements, CT scanners must possess four standard attributes on CT equipment related to dose optimization and management. Facilities that utilize CT equipment that was not in compliance in 2016 will receive a 5% reduction in their Medicare payments. This payment reduction has increased to 15% for the 2017 calendar year and will continue each year thereafter.

Note: NEMA XR-29 compliance does not impact your facility’s accreditation status.

IAC’s Role in Collecting Documentation from Accredited CT Facilities

The Centers for Medicare & Medicaid Services (CMS) has indicated that the designated Accreditation Organizations (AOs), inclusive of the IAC, obtain proof of compliance from each accredited facility in the form of the manufacturer’s certification of NEMA XR-29 compliance for each CT system used to bill for the Medicare Part B.

Action Your Facility Should Take Now

  1. Obtain a manufacturer-issued certificate(s) of compliance or third-party certificate for each CT system used in your facility. Review the certificate(s) to ensure that it includes each of the components required by CMS.
  2. Sign in to the IAC Online Accreditation portal and ensure that your CT equipment information is accurate and current.
  3. NEW! View detailed instructions (including steps for uploading certificates) for documenting NEMA compliance for each piece of CT equipment in your accredited facility»

Requirements for Cone Beam CT

While CMS has clarified that cone beam scanners are exempt from this requirement, documentation from your accredited facility is required. If your cone beam CT scanner does not meet the exempt status, you will need to upload the manufacturer’s certificate of compliance as instructed above.

Action Your Facility Should Take Now

  1. Contact the manufacturer of your CT unit or your service engineer to ensure that your cone beam CT scanner(s) meets the exempt status as defined by CMS.
  2. Sign in to the IAC Online Accreditation portal and ensure that your facility’s CT equipment information is accurate and current.
  3. NEW! View instructions for how to document that your cone beam scanner is exempt»

IAC Is Here to Help. The IAC will work with your facility to ensure that CMS is notified of your compliance by the deadline. For additional questions, please contact the IAC CT staff.

References