Search Results - NGSMEDICARE

Posting Date: 12/17/2021

General Information

General Information Certain diagnostic services provided by an IDTF are considered for Medicare payment when medically necessary. A referring/treating provider must order all covered services. The treating physician or nonphysician [...]

Posting Date: 05/23/2019

Performance Standards

Performance Standards If providers are credentialing as an IDTF, then the performance standards shall be reviewed thoroughly before submitting a Medicare application. Refer to the IDTF Performance Standards and Attachment 2 beginning on page [...]

Posting Date: 11/23/2021

Interpreting Physicians and Personnel (Technicians) Who Perform Tests

IDTF Billing Guide Interpreting Physicians and Personnel (Technicians) Who Perform Tests An IDTF may be either a mobile or stationary/fixed facility. Portable/Mobile Facility There are two types of mobile IDTFs. Each are large [...]

Posting Date: 11/19/2021

Supervising Physicians

Supervising Physicians Supervision means the imaging is done under the physician’s overall control and direction and the licensed supervising physician is directly overseeing and ensuring the quality of medical care. An IDTF must have one or [...]

Posting Date: 11/19/2021

Code Level Supervision

Code Level Supervision The supervision level required for diagnostic services is assigned by CMS. A list of diagnostic procedures and the supervision level required for each service is available in the CMS Medicare Physician Fee Schedule [...]

Posting Date: 06/15/2021

Lung Cancer Screening

Lung Cancer Screening Early detection by screening is an important strategy for patients with a high risk for lung cancer. The LDCT is an additional preventive service benefit under the Medicare program. CMS established NCD for lung cancer [...]

Posting Date: 05/14/2019

Claim Guidelines

Claim Guidelines The name and NPI of the referring/ordering provider must be in Items 17 and 17b of the CMS-1500 claim form or the EMC equivalent. An IDTF shall not be allowed to bill for any CPT or HCPCS codes that are solely therapeutic. [...]

Posting Date: 12/02/2021

Credentialing, Enrollment and Revalidation

Credentialing, Enrollment and Revalidation Table of Contents Requirements Facilities that are not qualified Qualifications Application Forms You Will Need Required Application Fee Documentation State Survey, Tie-in Notice [...]

Posting Date: 11/14/2024

Electronic Funds Transfer

EFT allows for claim payments to be electronically transferred to your bank in place of a hard copy check mailed to the facility. Medicare payments due a provider or supplier of services may be sent to a bank (or similar financial institution) [...]

Posting Date: 10/24/2024

Electronic Funds Transfer Form and Instructions

Table of Contents Electronic Funds Transfer Form and Instructions Submitting the EFT Form CMS-588 EFT Completion Tips for Sole Proprietors, Sole Owners, Clinic/Groups, Organizations, Providers and Suppliers [Return to Top] Electronic [...]