Credentialed Facilities and Staff for Noninvasive Vascular Tests: Have there been changes in the coverage of noninvasive vascular tests?
Each state’s local medical review policy requires the facility and staff performing noninvasive vascular testing to be credentialed. This guideline was effective for North Carolina on January 1, 2002 and January 1, 2004 for Tennessee and Idaho. (See links to the current lmrps below). We have received a variety of questions with the carrier’s responses summarized as follows: • “Incident to” guidelines do not apply to technologists. Therefore, a noncredentialed technologist cannot perform these tests under the supervision of a credentialed technologist. • Physician supervision at the appropriate level (as directed by the MFSDB physician supervision indicator–see attached link) would still be required for credentialed technologists Medicare Physician Fee Schedule Database: http://www.cms.hhs.gov/physicians/mpfsapp/step1.asp NC LMRP: http://www.cignamedicare.com/partb/lmrp/nc/cms_fu/2000-008-08.htm ID LMRP: http://www.cignamedicare.com/partb/lmrp/id/cms_fu/2003-04.html TN LMRP: http://www
