Providers must be accredited for the modality, Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) imaging service for which they are billing or their claim will deny.
The accreditation requirements apply to all suppliers of the TC who submit claims to MHCP, except for the following organizations’ settings licensed by Minnesota Statutes: The accreditation requirements apply only to providers of the TC of the imaging service and not the physician’s interpretation (professional component) of the imaging service. To be eligible as a provider of the technical component (TC) of advanced diagnostic imaging (ADI) services, providers must be accredited through one of the accrediting organizations. To be eligible as a provider of independent x-ray services or portable x-ray services, a vendor must be certified by CMS for participation in the Medicare program.
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