CMS Regulations
Stay current on Medicare payment policies and regulations. To obtain the current calendar year final rules and regulations click on the appropriate site of care: Hospital Outpatient or Physician Office and Independent Diagnostic Treatment Facilities

 
JCAHO Accreditation
Click here to get the latest JCAHO updates on standards, audio conferences and other useful information.

Imaging Facility Accreditation
Although facility accreditation remains a voluntary process, many private payers are beginning to require accreditation as a condition for participating network privileges and reimbursement. Click here to learn more about facility accreditation and view private payer conditional reimbursement policies on accreditation.   

Stark Regulations
The physician self-referral laws also knows as Stark I and II prohobits physicians from referring Medicare patients for certain designated health services (DHS) to an entity with which the physician or a member of the physician's immediate family has a financial relationship unless an exception applies.

The laws also prohibit an entity from submitting a claim to anyone for a service provided as a result of a prohibited referral. For more information on the physician referral laws click here.

All users agree to access and use the above mentioned third party websites at their own risk.  Bracco may not have reviewed all of the sites that may be linked to these web pages and makes no warranties or representations as to the accuracy, completeness and/or any other aspect of the information contained in any off-site pages or any other site linked to this site.  All users agree that the linking is at their own risk.

Bracco Diagnostics Inc. is pleased to provide customers with reimbursement support for products manufactured by the company and for medical procedures related to those products based on Medicare reimbursement policies.  Because private payer coverage policies and benefit plans differ greatly, the information offered in this guide may not be applicable for billing and reporting to private payers.  The treating provider is responsible for determining the medical necessity for each specific patient case.  Claims submitted to payers should reflect the medical decisions made by the treating provider, current applicable state and federal regulations, and the provisions of the patient benefit plan.  Bracco Diagnostics Inc. adheres to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) provisions and other applicable state and federal laws concerning the disclosure of protected health information (PHI).  Our Reimbursement Services department does not enter into Business Associate Agreements (BAA) with customers therefore your institution should not disclose PHI to Bracco reimbursement representatives during the course of receiving reimbursement support.  Current Procedural Terminology (CPT) codes and descriptions are copyright © 2007 American Medical Association (AMA). All Rights Reserved. CPT is a trademark of the AMA.