2016 Medicare Penalty for Non-Compliant CT Scanners

Posted by on Sep 16, 2014 in Compliance, Medicare, Notifications | 0 comments

Subject: 2016 Medicare Penalty for Non-Compliant CT Scanners

As you may have heard, significant reimbursement penalties loom for Medicare providers whose CT scanners are not up to the standards defined in a bill passed into law earlier this year.

H.R. 4302 “Protecting Access to Medicare Act of 2014” states that providers of CT services whose scanners are not compliant with the NEMA XR-29-2013 standard will be subject to a 5% reimbursement penalty, effective January 1, 2016. The penalty increases to 15% in 2017.

What is the NEMA XR-29-2013 standard? The standard, titled “Standard Attributes on CT Equipment Related to Dose Optimization and Management.” Lists equipment capabilities that can help CT users ensure that appropriate doses are delivered to patients when performing CT scans.

There are four features in the standard which CT scanners will need to have in 2016 to avoid the penalty:

1.  DICOM Radiation Dose Structured Reporting (RDSR)
2.  Dose check feature
3.  Automatic Exposure Control (mA modulation)
4.  Reference adult and pediatric protocols

Your service engineers or technical support personnel should be able to provide you with information regarding whether your CT scanners are compliant or able to be upgraded and brought into compliance. Some older scanners will likely not be able to be brought into compliance. Additionally, our physicists will be checking for these features as they perform surveys or ACR testing on your scanners, and providing feedback about the compliance of your scanners.

Please contact our office at 770-645-1440  if you have additional questions or concerns.

Password Reset
Please enter your e-mail address. You will receive a new password via e-mail.