What is the MIPPA requirement?
The Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 requires all providers who bill the Centers for Medicare and Medicaid Services (CMS) for advanced diagnostic imaging (ADI) services under Part B of the Medicare Physician Fee Schedule to have been accredited by January 1, 2012, in order to continue to receive reimbursement for their services. The ADI modalities are covered under MIPPA are CT, MRI, PET and SPECT.
What makes RadSite’s MIPPA Accreditation Program unique?
RadSite’s MIPPA Accreditation Program, or MAP, allows providers to apply for accreditation of their CT, MRI, PET and SPECT imaging systems with a single application. Similar to the other existing accreditation programs, MAP Accreditation includes a review of personnel, policies and procedures, as well as sample clinical images and phantom studies. Unlike other accrediting bodies, however, RadSite does not mandate the purchase of a specific phantom for the evaluation of the physics component, but rather accepts many standards phantoms that providers may already own, potentially saving facilities thousands of dollars at the beginning of the application process.
In addition to meeting all requirements set forth by CMS, the MAP program is designed as an extension of RadSite’s educational mission by allowing providers a 60-day corrective action period to remedy any deficiencies and improve their processes without immediate failure or extra fees. RadSite also provides constructive feedback through consultative on-site visits and lists of suggested opportunities for improvement that can help all applicants take gradual steps to improving their quality even further.
What does RadSite Accreditation include?
RadSite’s MAP Standards are built upon the foundation of the RAP Certification Standards, expanding the scope of the RAP quality and safety criteria to meet CMS requirements and other industry best practices. For example, the MAP Standards include a technical component evaluation that assesses the performance of each imaging system and examines the quality of the images that each imaging system produces. RadSite additionally requires applicants to submit medical physicist reports and specific case studies for each imaging system to ensure quality.
RadSite Accreditation includes review of several components, including:
- Personnel qualifications and job responsibilities
- Sample policies that cover topics such as patient safety, imaging system quality control, and HIPAA compliance
- Annual physicist reports and phantom testing
- Three to four clinical case samples for each imaging system
- On-site audit within the three-year accreditation period
To learn more about RadSite’s MIPPA Accreditation Program, you can request a copy of the RadSite MAP Accreditation Standards, v 2.1 and/or application materials by clicking here.