Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 431.000 - Independent Diagnostic Testing Facility › Section 431.402 - Definitions

Current through Register 1525, July 5, 2024
The following terms used in
				130 CMR 431.000 shall have
				the meanings given in 130 CMR 431.402, unless the context clearly requires a
				different meaning. The reimbursability of services described in
				130 CMR 431.000 is not
				determined by these definitions, but by the application of regulations
				elsewhere in
				130 CMR 431.000 and
				450.000:
Administrative and Billing Regulations
.
Direct Supervision
- the physician is
				present in the office suite and immediately available to furnish assistance and
				direction throughout the performance of the procedure. It does not require that
				the physician be present in the room when the procedure is performed.
General Supervision
- the procedure is
				furnished under the physician's overall direction and control, but the
				physician is not necessarily required during the performance of the
				procedure.
Independent Diagnostic Testing Facility
				(IDTF)
- a Medicare-certified diagnostic imaging center,
				freestanding MRI center, portable X-ray provider, sleep center, or mammography
				van, in a fixed location or mobile entity, that is physically and financially
				independent of a hospital or physician's office, and performs diagnostic tests.
				These tests must be performed by a physician or by licensed, certified
				nonphysician personnel under appropriate physician supervision and comply with
				the applicable laws of any state in which it operates.
Interpreting Physician
- a physician
				who determines the meaning of test results provided by the IDTF, either on the
				IDTF premises or at a remote location.
Mobile IDTF
- a facility that takes
				its equipment to a location other than its own office. The equipment may be
				small enough to load and unload from a van as in the case of some sonography or
				PFT equipment; or it may be fixed in the vehicle such as a mobile MRI
				unit.
Non-physician Personnel
- technicians,
				employed or contracted by the IDTF, whose function is to perform the technical
				component of a given diagnostic test.
Personal Supervision
- a physician is
				physically in the room during the performance of the procedure.
Referring Physician
- a physician who
				requests or orders the service but does not necessarily perform the
				service.
Supervising Physician
- a physician
				responsible for the personal, direct, or general supervision of the testing
				performed, the quality of the testing performed, the proper operation and
				calibration of the equipment used to perform tests, and the actions of
				nonphysician personnel who use the equipment.
Treating Clinician
- a physician (as
				defined in
				42
				USC 1395x(r) ) or nurse
				practitioner, clinical nurse specialist, or physician assistant (as defined in
				42
				USC 1395x(s)(2)(K) ) who
				furnishes a consultation or treats a member for a specific medical problem, and
				who uses the result of a diagnostic test in the management of the member's
				specific medical problem.