Christine Posted Wed 24th of May, 2017 15:24:58 PM
would like to get your interpretation of the rule on who can perform a vascular ultrasound other than a physician and a certified vascular technician per the CMS LCD rules for which I copy and pasted below. thanks so much.
Credentialing and Accreditation Standards
The accuracy of non-invasive vascular diagnostic studies depends on the knowledge, skill, and experience of the technologist and interpreter. Consequently, the physician performing and/or interpreting the study must be capable of demonstrating documented training and experience and maintain any applicable documentation. A vascular diagnostic study may be personally performed by a physician or a technologist.
The GAO Report to Congressional Committees entitled Medicare Ultrasound Procedures. Consideration of Payment Reforms and Technician Qualifications Requirements states that 'Findings from several peer-reviewed studies, the Medicare Payment Advisory Commission, and ultrasound-related professional organizations support requiring that sonographers either have credentials or operate in facilities that are accredited, where specific quality standards apply. In some localities and practice settings, CMS or its contractors have required that sonographers either be credentialed or work in an accredited facility.' (GAO-07-734)
For areas under CGS Administrators, LLC jurisdiction the requirements will be effective for all providers 30 April 2011:
• All non-invasive vascular diagnostic studies must be performed under at least one of the following settings: (1) performed by a physician who is competent in diagnostic vascular studies or under the general supervision of physicians who have demonstrated minimum entry level competency by being credentialed in vascular technology, or (2) performed by a technician who is certified in vascular technology, or (3) performed in facilities with laboratories accredited in vascular technology.
• Examples of appropriate personnel certification include, but are not limited to the Registered Physician in Vascular Interpretation (RPVI), Registered Vascular Technologist (RVT), the Registered Cardiovascular Technologist (RCVT), Registered Vascular Specialist (RVS), and the American Registry of Radiologic Technologists (ARRT) credentials in vascular sonography. Appropriate laboratory accreditation includes the American College of Radiology (ACR) Vascular Ultrasound Program, and the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL).
SuperCoder Answered Thu 25th of May, 2017 11:15:17 AM
The technical staff must have an appropriate level of training and experience by meeting one or more of the undermentioned criteria:
Credential – An appropriate credential in vascular testing: Registered Vascular Technologist (RVT); Registered Vascular Specialist (RVS); Registered Technologist Vascular Sonography [RT(VS)]; Registered Diagnostic Medical Sonographer in Abdomen [RDMS (AB)] (visceral vascular testing only); American Society of Neuroimaging (ASN) (extracranial and intracranial testing only); Registered Phlebology Sonographer (RPhS) (peripheral venous testing only).
By January 31, 2017, all technical staff must have obtained an appropriate credential in vascular testing. ii. Provisional Staff • New graduates of a vascular testing program who are employed in an accredited facility must obtain an appropriate credential within one year from the date of graduation and must be listed in the application as provisional technical staff who are eligible for credentialing and must only work under direct supervision of a credentialed vascular sonographer. • Individuals employed in an accredited facility who are cross-training in vascular testing or working to fulfill clinical experience pre-requisites for a credentialing examination must obtain an appropriate credential within two years from the start date of training. These individuals must be listed in the application as provisional technical staff who are eligible for credentialing, and must only work under direct supervision of a credentialed vascular sonographer.
Hope this helps!
Christine Posted Thu 25th of May, 2017 16:28:08 PM
can a RN or a rad tech scan a patient if the physician is supervising the scan?
SuperCoder Answered Fri 26th of May, 2017 07:44:18 AM
Yes RN and Rad tech can perform the scan but they must have certification and all the credential like (Registered Vascular Technologist (RVT); Registered Vascular Specialist (RVS); Registered Technologist Vascular Sonography [RT(VS)]; Registered Diagnostic Medical Sonographer in Abdomen [RDMS (AB)] (visceral vascular testing only); American Society of Neuroimaging (ASN) (extracranial and intracranial testing only); Registered Phlebology Sonographer (RPhS) (peripheral venous testing only) to perform the scan. Insurance pannels require that the sonographer should be certified in the area of the scan.
Christine Posted Wed 31st of May, 2017 13:44:00 PM
So the answer is NO the RN or RAD Tech can not preform the scan even if the certified Physician is supervising the scanning they Must have credentials to preform scan.
SuperCoder Answered Thu 01st of June, 2017 07:56:35 AM
RN and RAD tech can perform the scan if they have all the credentials to perform the scan.
Christine Posted Thu 01st of June, 2017 15:30:54 PM
SuperCoder Answered Fri 02nd of June, 2017 00:33:45 AM