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‘‘(7) ADDITIONAL
REQUIREMENTS.—Notwith-
standing any provision of section 354 of the Public 
Health Service Act, the following shall apply to the 
accreditation process under this subsection for pur-
poses of subsection (b)(4)(C)(i): 
‘‘(A) Any diagnostic imaging services facil-
ity accredited before January 1, 2010 (or Janu-
ary 1, 2012, in the case of ultrasounds), by an 
accrediting body approved by the Secretary 
shall be deemed a facility accredited by an ap-
proved accreditation body for purposes of such 
subsection as of such date if the facility submits 
to the Secretary proof of such accreditation by 
transmittal of the certificate of accreditation, 
including by electronic means. 
‘‘(B) The Secretary may require the ac-
creditation under this subsection of an emerg-
ing technology used in the provision of a diag-
nostic imaging service as a condition of pay-
ment under subsection (b)(4)(C)(i) for such 
service at such time as the Secretary deter-
mines there is sufficient empirical and scientific 
information to properly carry out the accredita-
tion process for such technology. 
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‘‘(8) DEFINITIONS.—For purposes of this sub-
section: 
‘‘(A) AUDIT.—The term ‘audit’ means an 
onsite evaluation, with respect to a diagnostic 
imaging services facility, by the Secretary, State 
or local agency on behalf of the Secretary, or 
accreditation body approved under this sub-
section that includes the following: 
‘‘(i) Equipment verification. 
‘‘(ii) Evaluation of policies and proce-
dures for compliance with accreditation re-
quirements. 
‘‘(iii) Evaluation of personnel quali-
fications and credentialing. 
‘‘(iv) Evaluation of the technical qual-
ity of images. 
‘‘(v) Evaluation of patient reports. 
‘‘(vi) Evaluation of peer-review mech-
anisms and other quality assurance activi-
ties. 
‘‘(vii) Evaluation of quality control 
procedures, results, and follow-up actions. 
‘‘(viii) Evaluation of medical physi-
cists (or other appropriate professionals 
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chosen by the accreditation body) and 
magnetic resonance scientist surveys. 
‘‘(ix) Evaluation of consumer com-
plaint mechanisms. 
‘‘(x) Provision of recommendations for 
improvement based on findings with re-
spect to clauses (i) through (ix). 
‘‘(B) DIAGNOSTIC IMAGING SERVICES FA-
CILITY.—The term ‘diagnostic imaging services 
facility’ has the meaning given the term ‘facil-
ity’ in section 354(a)(3) of the Public Health 
Service Act (42 U.S.C. 263b(a)(3)) subject to 
the reference changes specified in paragraph 
(2), but does not include any facility that does 
not furnish diagnostic imaging services for 
which payment may be made under this section. 
‘‘(C) IMAGE.—The term ‘image’ means the 
portrayal of internal structures of the human 
body for the purpose of detecting and deter-
mining the presence or extent of disease or in-
jury and may be produced through various 
techniques or modalities, including radiant en-
ergy or ionizing radiation and ultrasound and 
magnetic resonance. Such term does not include 
image guided procedures. 
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