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To date, the ICAVL is aware that the following insurers or companies have adopted vascular reimbursement directives. While the ICAVL attempts to stay abreast of reimbursement policies as a service to the vascular community, these policies are changed and updated regularly by the insurance carriers. Therefore, the ICAVL recommends that you contact the insurance carriers in your area for the most accurate and current information. If you are aware of additional payment policies, or have questions about the information posted, please e-mail Marketing Director Tamara Sloper at reimbursement@intersocietal.org.
Medicare Payment Policies
There are several states in which the Medicare carrier REQUIRES either accreditation of the laboratory and/or technologist credentialing, for reimbursement of vascular studies. Medicare communicates vascular payment policy primarily through contractor-specific Local Coverage Determinations (LCDs).
PLEASE NOTE: Due to recent changes on the Centers for Medicare & Medicaid Services website, the IAC can no longer provide direct links to documents within the CMS website. The policy details displayed on the ICAVL website detailing accreditation requirements are only a portion of the full reimbursement directive, please review the full policy on the CMS website. To find a payment policy, go to www.cms.gov/mcd/overview.asp and follow these instructions:
- Click on Advanced Search
- Under Search by Document Type, check Local Coverage Documents
- Under What documents types do you want to search for? Check All Policies (LCD) and then Final Policies
- Select Geographic Area (State) AND/OR Contractor Criteria
- Type the testing area you are searching for (i.e., noninvasive vascular) or the LCD ID # into Enter Keyword(s) box and choose Title
- Click Search By Type box
- A page will appear asking you to accept the Terms & Conditions, Click Agree
- A new page will open with your search results
Enhancement to Online Accreditation Allows Facilities to Enter and Store NPI Data and/or Medicare Enrollment Numbers
NOVEMBER 2011 | The IAC recently released an update to its Online Accreditation application and enhanced the way in which it collects and stores identification information, specifically National Provider Identifier (NPI) data and Medicare enrollment numbers for each participating facility.
It is important for Vascular laboratories to update this information in your IAC Online Accreditation account as most insurers now request verification of accreditation status via data file transfers. For those facilities that have not yet accessed the new Online Accreditation format, it is highly recommended that you login to your account at this time. The temporary login information was sent to each account holder when Online Accreditation was launched in September 2009 for Vascular laboratories.
To view the full instructions of updating the NPI data or Medicare enrollment numbers, click here.
NIA Recognizes IAC Accreditation Programs for Peripheral Vascular Ultrasound
National Imaging Associates (NIA) recognizes the Intersocietal Accreditation Commission (IAC) accreditation programs for:
as acceptable imaging accreditations for fulfilling the NIA credentialing requirement that facilities be accredited by an approved accrediting body. The following information is copied from the NIA Imaging Provider Handbook.
Read complete details about NIA credentialing requirement»
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