Comments on a Proposed LMRP:
Pennsylvania Response

This response to SVT's comments on a proposed LMRP shows how your comments can make a difference

October 18, 2000

Dear Sir or Madam:

Over the past year, HGSAdministrators (the Medicare Part B Carrier for Pennsylvania) has been working to develop a policy concerning supervision and certification requirements for Independent Diagnostic Testing Facilities (IDTFs). As you are aware, there does not exist a national Medicare policy or directive regarding supervision and certification requirements for IDTFS. To that extent, HGSA has worked with our Carrier Advisory Committee (CAC), professional health care provider consultants, and representatives of the provider community to develop this Local Medical Review Policy (LMRP), with full focus on the quality of care provided to the more than 2 million Medicare beneficiaries and patients of Pennsylvania.

We have previously communicated to you that this policy would take effect on October 23, 2000. However, recent inquiries and comments have led us to conclude that this policy (Policy Bulletin M-56) has resulted in concern within the IDTF provider community. Therefore, we have decided to postpone our scheduled October 23 implementation date to provide more time and opportunity for further discussion, comments, and provider education on these important requirements and issues.

At this time, we remain committed to the issues and efforts addressed in this policy and the supporting evidence and background for our policy decisions. We will be certain to provide ample time prior to the later implementation of a policy on IDTF certification and supervision requirements. Please note that this letter applies only to Policy M-56 and does not pertain to or affect any other applicable Medicare policies, requirements, or statements.

This announcement will also be posted on our website and in the next Medicare Report.

A. Bloschichak, MD, MBA
Carrier Medical Director
Pennsylvania Medicare Part B
HGSAdministrators