CMS Issues Advanced Diagnostic Imaging Provisional Accreditation Status

CMS clarifies that Providers and Suppliers have 120 days to accredit equipment purchased after 1/1/2012 ADI accreditation deadline

The Centers for Medicare & Medicaid Services (“CMS”) mandates that all suppliers and providers who furnish the technical component (“TC”) of certain advanced diagnostic imaging services be accredited by one of three CMS-appointed accrediting agencies by January 1st, 2012. Thus, in order to furnish the TC of certain advanced diagnostic imaging (“ADI”) services to Medicare beneficiaries, and in order to receive reimbursement for the TC of those services, the medical provider or supplier must receive accreditation decisions for all ADI equipment by January 1st, 2012.

When CMS originally issued the accreditation requirement, it failed to account for the accreditation status of ADI equipment purchased after the 1/1/2012 deadline. As such, CMS issued a provisional accreditation status update to further clarify the accreditation requirements.

Essentially, if a supplier or provider has already received an accreditation decision for their current equipment, but wishes to purchase additional ADI equipment, that supplier or provider will be given a time frame of 120 days from the date the new ADI equipment is first utilized to receive an additional accreditation decision with respect to the newly purchased equipment.

The supplier or provider is responsible for contacting one of the three CMS -approved accrediting agencies – the American College of Radiology, the Intersocietal Accreditation Commission, or the Joint Commission – to report that additional ADI equipment has been purchased, and that it needs to be accredited. Remember, the 120-day accreditation clock starts to run on the date that the new equipment was first utilized. It is advisable, therefore, to start the accreditation process early if your office or practice group is reasonably certain to purchase new ADI equipment on or around the 1/1/2012 deadline. Once the new equipment is purchased, but before it is utilized, it is prudent for a supplier or provider to quickly begin the accreditation process for the new equipment.

Finally, it is important to stress that the accreditation requirement applies only to the TC of the ADI services rendered, and will not apply to the physician’s interpretation of the image.

If you have any questions regarding compliance with the ADI Accreditation, or other compliance-related issues, please feel free to contact me at

With kind regards,
Andre Perrotta, Esq.
ADVOCATE Chief Compliance Officer