Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) › Chapter II - Specific Policies By Service › Section 144-101-II-101 - Medical Imaging Services › Subsection 144-101-II-101.01 - DEFINITIONS

Current through 2024-29, July 17, 2024
101.01-1
Accrediting Body
means
					 an entity that has been approved by the Food and Drug Administration (FDA)
					 under Section 354 of the Public Health Service Act (
					 42 U.S.C.
					 263 b (e) (1) (A)) to accredit Mammography
					 Facilities.
101.01-2
Certificate
means the certificate issued by the Food and Drug
					 Administration (FDA) to all mammography facilities that provide breast cancer
					 screening or diagnosis through mammography and that meet all accreditation
					 requirements in accordance with the Mammography Quality Standards Act (MQSA),
					 Public Law 102-539, Section 354 of the Public Health Service Act (
					 42 U.S.C.
					 263 b (b) (1)) and all applicable FDA
					 regulations.
101.01-3
Computed Tomography (CT)
means a diagnostic technology that
					 combines x-ray equipment with a computer and cathode ray tube display to
					 produce images of cross sections of the human body.
101.01-4
Independent Medical Imaging
means a medical imaging service not provided in, nor affiliated with, a
					 hospital outpatient department or ambulatory services clinic whose rate of
					 reimbursement includes such diagnostic services. A radiologist must direct an
					 independent medical imaging services provider.
101.01-5
Magnetic Resonance Imaging
					 (MRI)
meansa non-invasive form of diagnostic technology that employs
					 magnetic and radio frequency fields to image body tissues and monitor body
					 chemistry. It does so without using ionizing radiation.
101.01-6
Mammogram
means a
					 radiographic image produced through mammography.
101.01-7
Mammography
means
					 radiography of the breast, which may utilize specialized diagnostic procedures
					 including computer analyzed digitalization or digital mammography.
101.01-8
Mammography Facility
means a hospital, outpatient department, clinic, radiology practice, mobile
					 unit, an office of a physician or other facility that conducts breast cancer
					 screening or diagnosis through mammography activities, including any or all of
					 the following: the operation of equipment to produce a mammogram, processing of
					 film, initial interpretation of the mammogram and the viewing conditions for
					 that interpretation. This term does not include a facility of the Department of
					 Veteran Affairs.
101.01-9
Nuclear Medicine
means a diagnostic and treatment imaging process
					 that uses special cameras and radioactive materials to form images of the
					 body.
101.01-10
Positron
					 Emission Tomography (PET) Scan
means a diagnostic technology that
					 involves the acquisition of physiologic images based on the detection of
					 positrons. Positrons are tiny particles emitted from a radioactive substance
					 administered to the patient. The subsequent views of the human body developed
					 by this technique are used to evaluate the patient for the presence of a
					 variety of diseases.
101.01-11
Radiologist
means a doctor of medicine or doctor of osteopathy
					 licensed to practice by the state or province in which services are provided
					 and qualified by advanced training and experience in radiology and magnetic
					 resonance imaging for diagnostic purposes.
101.01-12
Radiology
means the
					 use of ionizing radiation on human beings under the supervision of a licensed
					 practitioner.
101.01-13
Ultrasonography
means a diagnostic technology that produces a
					 visual image from the application of high frequency sound waves.