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CMS Finalizes Industry-backed Modernization of Portable x-ray Conditions of Coverage


Exciting News! Great Win for APDA members and the Industry!
On September 26, 2019, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to modernize the Portable X-ray Conditions of Coverage (CoC). As a result of joint advocacy efforts by the American Portable Diagnostics Association(APDA) and the National Association for the Support of Long-term Care (NASL), with support from AMDA – the Society for Post-Acute and Long Term Care Medicine. 

UPDATE to changes 9/30/2019
The final rule updating the Portable X-ray Conditions of Coverage (CoC) was published in today's edition of the Federal Register (September 30, 2019). This means the changes become effective in 60 days – November 29, 2019.
Here is a link to the final rule published in the Federal Register:
https://www.govinfo.gov/content/pkg/FR-2019-09-30/pdf/2019-20736.pdf

 
CMS Finalizes Industry-backed Modernization of Portable x-ray Conditions of Coverage

On September 26, 2019, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to modernize the Portable X-ray Conditions of Coverage (CoC). As a result of joint advocacy efforts by the American Portable Diagnostics Association (APDA) and the National Association for the Support of Long-term Care (NASL), with support from AMDA – the Society for Post-Acute and Long Term Care Medicine CMS has revised the CoC in these areas:
1. Qualifications of technical personnel. The final rule: ï‚· Removes previous requirements. ï‚· Implements the requirement that operators of portable x-ray equipment meet one of the following: (1) Successful completion of a program of formal training in X-ray technology at which the operator received appropriate training and demonstrated competence in the use of equipment and administration of portable x-ray procedures; or (2) Successful completion of 24 full months of training and experience under the direct supervision of a physician who is certified in radiology or who possesses qualifications which are equivalent to those required for such certification.

2. Order requirements. The final rule: ï‚· Removes previous requirements, including that the order must be written and signed. ï‚· Retains the requirement that the portable x-ray order must include a statement on why it is necessary to perform a portable x-ray. ï‚· In addition to the statement, the order must conform with requirements in 42 CFR 410.32 - Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions.
Here is a link to these requirements: https://www.govinfo.gov/content/pkg/CFR-2011-title42- vol2/pdf/CFR-2011-title42-vol2-sec410-32.pdf ï‚· The final rule allows portable x-rays to be ordered in writing, by telephone, or by secure electronic methods.

Want to learn more? Here are two opportunities: 1. Participate in the APDA webinar, Oct 2 at 1pm (ET). Register at: https://attendee.gotowebinar.com/register/4027305885158187531 2. Attend the APDA 2019 Annual Conference & Expo in Las Vegas, Nov 5-7. 

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