Medicare-Approved Independent Diagnostic Testing Facility
What is an IDTF?
Medicare inpatient and outpatient clinical and diagnostic services can be provided in many different settings, such as a physician’s office, hospital, or a Medicare-Approved Independent Diagnostic Testing Facility (IDTF). An IDTF is a type of Medicare provider that is independent of a physician’s office or hospital. However, IDTF general coverage and payment policy rules do apply when an IDTF furnishes diagnostic procedures in a physician’s office. Effective for diagnostic procedures performed on or after March 15, 1999, Medicare Administrative Contractors (MACs) pay for diagnostic procedures under the physician fee schedule when performed by an IDTF.
An IDTF can be a fixed location or a mobile entity, and can be considered independent from a physician’s office or hospital if;
- The physician practice is not owned directly by one or more physicians or by a hospital.
- The entity bills primarily for diagnostic tests, and not for patient services.
- The diagnostic tests are not performed and interpreted at the same location where the practice physicians also treat their patients.
In order for an IDTF to be authorized to provide services and submit claims on behalf of Medicare beneficiaries, it must be Medicare-approved. Any IDTF that wishes to become Medicare-approved must first submit an application that collects information including procedure codes for billing, names of supervising physicians and technicians, locations where medical documents will be held, and the address at which they will provide services. An IDTF must separately enroll each of its practice locations (with the exception of locations that are used solely as warehouses or repair facilities). Each separately enrolled practice location of the IDTF must meet all applicable IDTF requirements.
Failure to comply with any of the requirements for a Medicare-approved IDTF will result in the revocation of its Medicare billing privileges. IDTFs must operate in compliance with all applicable federal and state licensure and regulatory requirements for the health and safety of patients.
Vitalistics™ is a Medicare-Approved IDTF specializing in home sleep testing and overnight pulse oximetry testing. Our services are designed to comply with all IDTF Performance Standards and CMS guidelines for oxygen and PAP qualification.