Tuesday, December 20, 2011

Providers Not Required to Supply Advanced Diagnostic Imaging (ADI) Certification Information via Enrollment Process

In January 2012, all Part B suppliers including physicians, and non-physician practitioners performing the technical component of advanced diagnostic imaging services—also known as ADI—who are paid under the Medicare Physician Fee Schedule will need to be accredited by one of the CMS-approved accrediting organizations. The accreditation organization will transmit all necessary data to CMS on an ongoing basis. Your Medicare billing contractor will receive these data from CMS. Due to this file being received at CMS from the accrediting organizations, it is not necessary for the providers to supply the ADI information on their respective 855 form(s) or in the PECOS enrollment system.

Reminder: When submitting your information to the accrediting organization, make sure you provide the NPI that you used to register the legal business name of the facility in the National Plan and Provider Enumeration System (NPPES). If you provided the incorrect NPI, please notify your accrediting organization as soon as possible.
See the following MLN articles for more information on the ADI certification requirement :

Accreditation for Physicians and Non-Physician Practitioners Supplying the Technical Component (TC) of Advanced Diagnostic Imaging (ADI) Services
Advanced Diagnostic Imaging Accreditation Enrollment Procedures