Imaging centers enrolled in the Medicare program as Independent Diagnostic Testing Facilities, or IDTFs, face a growing number of challenges. For years IDTFs have been subject to a specific set of rules that are more restrictive than those applied to similar imaging centers enrolled in the Medicare program as physician offices (which are sometimes referred to as radiology clinics). For example, IDTFs are prohibited from sharing space with another Medicare provider, subject to compliance surveys, and required to disclose and update details of their operations in the Medicare enrollment applications (the CMS 855B form). Important to women’s imaging, IDTFs are only permitted to perform and bill a subset of testing services within the 70000 series CPT codes.

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