Encore: Provider Enrollment IDTFs

[@AnthonyKimani-m6n]

Thanks for sharing the video as it's really helpful. Could you please confirm if we are providing Ultrasound services only so do we need to have a state license for the organization, if the license is not required so we'll need to submit IDTF application or simply as a group/clinic?

[@wpspoe]

Thank you for your question! Licensure varies by state and must be provided if required for the organization to perform services. It does not determine the application that needs to be submitted. An IDTF is a facility that is performing diagnostic services and is independent of a clinic, physicians office or hospital. and IDTF may perform both the technical and professional component of the diagnostic service. You can find more information in the Program Integrity Manual (PIM), chapter 10, § 10.2.2.4 - Independent Diagnostic Testing Facilities (IDTFs). CMS has also published a National Coverage Determination (NCD) you may find helpful: Billing and Coding: Independent Diagnostic Testing Facility (IDTF): www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57807&ver=105&