Practice Management

Has anyone else come across this from Noridian related to levels of supervision? I thought supervision levels were the same for all settings, but is this just for IDTFs?

<https://urldefense.proofpoint.com/v2/url?u=https-3A__med.noridianmedicare.com_web_jeb_specialties_idtf_independent-2Ddiagnostic-2Dtesting-2Dfacility-2Didtf-2Dphysician-2Dand-2Dtechnician-2Dqualification-2Drequirements&d=DwMFAg&c=KoC5GYBOIefzxGAm2j6cjFf-Gz7ANghQIP9aFG9DuBs&r=cly3jWyZkw-3uRMVlqlrl-aHwUWppsYeHe43sIAjlMk&m=ziitz4YDTlhfPI2zU0q88kzNGZiaeDKbjxDXpREQrVY&s=zXCe5BH8Qwrl7xzqEpHWybtzd29QQqXX_GeYnM0gxuo&e=>

This says Screening mam, 77067 requires Direct supervision level.

Laura McDonough

Providence Imaging Center Executive Director

907 212 3182 - direct

907 212 5827 - fax

907 212 3151 - PIC Operator

laura.mcdonough@providence.org

www.provimaging.com

Larry,

The supervision levels are the same for all settings including office, IDTFs, and hospital outpatient.  However, for IDTFs they can only provide the imaging services that are on the approved list like Noridian provided.  Therefore supervision levels and rules are the same, range of services they are allowed to provide at an IDTF site are more limited.

Pam

Pam Kassing, MPA, FRBMA, RCC

Senior Economic Advisor

Economics and Health Policy

American College of Radiology

1819 Preston White Drive

Reston, VA 20191

(800) 227-5463 x4544

We are not getting paid for the new chest or abdomen codes by either Cahaba GBA (GA) or Palmetto GBA (SC).  Does anyone know if there has been any information from Medicare about the new chest and abdomen codes?  They are also not on the fee schedules for either of these MACs.

Thanks,

Billie T. English, CPC

Director of Practice Management

MCBS, LLC

1125 Troupe St.

Augusta, GA 30904

706-667-7404 office

706-737-1314 fax

billie.english@mcbs.com

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Larry,

The supervision levels are the same for all settings including office, IDTFs, and hospital outpatient.  However, for IDTFs they can only provide the imaging services that are on the approved list like Noridian provided.  Therefore supervision levels and rules are the same, range of services they are allowed to provide at an IDTF site are more limited.

Pam

Pam Kassing, MPA, FRBMA, RCC

Senior Economic Advisor

Economics and Health Policy

American College of Radiology

1819 Preston White Drive

Reston, VA 20191

(800) 227-5463 x4544

Has anyone else come across this from Noridian related to levels of supervision? I thought supervision levels were the same for all settings, but is this just for IDTFs?

<https://urldefense.proofpoint.com/v2/url?u=https-3A__med.noridianmedicare.com_web_jeb_specialties_idtf_independent-2Ddiagnostic-2Dtesting-2Dfacility-2Didtf-2Dphysician-2Dand-2Dtechnician-2Dqualification-2Drequirements&d=DwMFAg&c=KoC5GYBOIefzxGAm2j6cjFf-Gz7ANghQIP9aFG9DuBs&r=cly3jWyZkw-3uRMVlqlrl-aHwUWppsYeHe43sIAjlMk&m=ziitz4YDTlhfPI2zU0q88kzNGZiaeDKbjxDXpREQrVY&s=zXCe5BH8Qwrl7xzqEpHWybtzd29QQqXX_GeYnM0gxuo&e=>

This says Screening mam, 77067 requires Direct supervision level.

Laura McDonough

Providence Imaging Center Executive Director

907 212 3182 - direct

907 212 5827 - fax

907 212 3151 - PIC Operator

laura.mcdonough@providence.org

www.provimaging.com

Is there anyone who can answer this question from below?

The 2018 RVU File shows the supervision level as a 9 for screening mammogram.  Noridian posting it on their website with direct supervision is quite different.  Which supersedes? 

Has anyone else come across this from Noridian related to levels of supervision? I thought supervision levels were the same for all settings, but is this just for IDTFs?

<https://urldefense.proofpoint.com/v2/url?u=https-3A__med.noridianmedicare.com_web_jeb_specialties_idtf_independent-2Ddiagnostic-2Dtesting-2Dfacility-2Didtf-2Dphysician-2Dand-2Dtechnician-2Dqualification-2Drequirements&d=DwMFAg&c=KoC5GYBOIefzxGAm2j6cjFf-Gz7ANghQIP9aFG9DuBs&r=cly3jWyZkw-3uRMVlqlrl-aHwUWppsYeHe43sIAjlMk&m=ziitz4YDTlhfPI2zU0q88kzNGZiaeDKbjxDXpREQrVY&s=zXCe5BH8Qwrl7xzqEpHWybtzd29QQqXX_GeYnM0gxuo&e=>

This says Screening mam, 77067 requires Direct supervision level.

Laura McDonough

Providence Imaging Center Executive Director

907 212 3182 - direct

907 212 5827 - fax

907 212 3151 - PIC Operator

laura.mcdonough@providence.org

www.provimaging.com

We received word from one of our members that a local payer in his area is requiring preauthorization for all ultrasound studies.   Are others experiencing this?  If so, which payer(s) and in which state(s)?

We received word from one of our members that a local payer in his area is requiring preauthorization for all ultrasound studies.   Are others experiencing this?  If so, which payer(s) and in which state(s)?

Has anyone else come across this from Noridian related to levels of supervision? I thought supervision levels were the same for all settings, but is this just for IDTFs?

<https://urldefense.proofpoint.com/v2/url?u=https-3A__med.noridianmedicare.com_web_jeb_specialties_idtf_independent-2Ddiagnostic-2Dtesting-2Dfacility-2Didtf-2Dphysician-2Dand-2Dtechnician-2Dqualification-2Drequirements&d=DwMFAg&c=KoC5GYBOIefzxGAm2j6cjFf-Gz7ANghQIP9aFG9DuBs&r=cly3jWyZkw-3uRMVlqlrl-aHwUWppsYeHe43sIAjlMk&m=ziitz4YDTlhfPI2zU0q88kzNGZiaeDKbjxDXpREQrVY&s=zXCe5BH8Qwrl7xzqEpHWybtzd29QQqXX_GeYnM0gxuo&e=>

This says Screening mam, 77067 requires Direct supervision level.

Laura McDonough

Providence Imaging Center Executive Director

907 212 3182 - direct

907 212 5827 - fax

907 212 3151 - PIC Operator

laura.mcdonough@providence.org

www.provimaging.com

We received word from one of our members that a local payer in his area is requiring preauthorization for all ultrasound studies.   Are others experiencing this?  If so, which payer(s) and in which state(s)?

Has anyone else come across this from Noridian related to levels of supervision? I thought supervision levels were the same for all settings, but is this just for IDTFs?

<https://urldefense.proofpoint.com/v2/url?u=https-3A__med.noridianmedicare.com_web_jeb_specialties_idtf_independent-2Ddiagnostic-2Dtesting-2Dfacility-2Didtf-2Dphysician-2Dand-2Dtechnician-2Dqualification-2Drequirements&d=DwMFAg&c=KoC5GYBOIefzxGAm2j6cjFf-Gz7ANghQIP9aFG9DuBs&r=cly3jWyZkw-3uRMVlqlrl-aHwUWppsYeHe43sIAjlMk&m=ziitz4YDTlhfPI2zU0q88kzNGZiaeDKbjxDXpREQrVY&s=zXCe5BH8Qwrl7xzqEpHWybtzd29QQqXX_GeYnM0gxuo&e=>

This says Screening mam, 77067 requires Direct supervision level.

Laura McDonough

Providence Imaging Center Executive Director

907 212 3182 - direct

907 212 5827 - fax

907 212 3151 - PIC Operator

laura.mcdonough@providence.org

www.provimaging.com