Legislation Introduced to Address 2012 Medicare Accreditation Requirements

December 2, 2011

On November 2, Rep. James Renacci (R-OH) introduced HR 3328, which would provide a six-month grace period for Medicare imaging service suppliers to receive accreditation through an approved accrediting organization.  The Medicare Improvements for Patients and Providers Act (MIPPA), which goes into effect on January 2, 2012, requires all suppliers billing under the Physician Fee Schedule for advance diagnostic imaging (CT, MR, Nuclear, and PET) to be fully accredited in order to be reimbursed by CMS.

However, new facilities are unable to apply for accreditation until they have performed studies.  The accreditation process then takes a minimum of 90 days.  As a result, any new facility would not be reimbursed through Medicare for a minimum of four to six months.  In response, Rep. Renacci’s bill would establish a six months grace period where new facilities would be paid while undergoing the accreditation process.