12 2 STA T . 2 53 3 PUBLIC LA W 11 0– 2 7 5 —J UL Y 15 , 200 8tha ta refu r nis he dby asu p p l ier , pay m ent may o nly be made if su c h supplier is accredited by an accreditation or g ani z ation designated by the S ecretary under paragraph (2) ( B )(i) .‘ ‘(B) ADVANCE DD I A G N OST ICI M AGING SE R VICES DE F INED. —I n this subsection, the term ‘ad v anced diagnostic imaging services ’ includes— ‘‘(i) diagnostic magnetic resonance imaging, com - puted tomography, and nuclear medicine (including positron emission tomography)
and ‘‘(ii) such other diagnostic imaging services, including services described in section 184 8(b)(4)(B) (e x cluding X -ray, ultrasound, and fluoroscopy), as specified by the Secretary in consultation w ith physi- cian specialty organizations and other sta k eholders. ‘‘( C )S UP P L IER DEFINED.—In this subsection, the term ‘supplier’ has the meaning given such term in section 18 6 1(d). ‘‘(2) ACCREDITATION ORGANI Z ATIONS.— ‘‘(A) F ACTORS FOR DESIGNATION OF ACCREDITATION ORGANIZATIONS.— T he Secretary shall consider the following factors in designating accreditation organizations under subparagraph (B)(i) and in reviewing and modifying the list of accreditation organizations designated pursuant to subparagraph (C)
‘‘(i) The ability of the organization to conduct timely reviews of accreditation applications. ‘‘(ii) W hether the organization has established a process for the timely integration of new advanced diagnostic imaging services into the organization’s accreditation program. ‘‘(iii) Whether the organization uses random site visits, site audits, or other strategies for ensuring accredited suppliers maintain adherence to the criteria described in paragraph ( 3 ). ‘‘(iv) The ability of the organization to take into account the capacities of suppliers located in a rural area (as defined in section 1886(d)(2)( D )). ‘‘(v) Whether the organization has established reasonable fees to be charged to suppliers applying for accreditation. ‘‘(vi) Such other factors as the Secretary deter- mines appropriate. ‘‘(B) DESIGNATION.— N ot later than J anuary 1, 2 0 10, the Secretary shall designate organizations to accredit sup- pliers furnishing the technical component of advanced diag- nostic imaging services. The list of accreditation organiza- tions so designated may be modified pursuant to subpara- graph (C). ‘‘(C) R EVIE W AND MODIFICATION OF LIST OF ACCREDITA- TION ORGANIZATIONS.— ‘‘(i) IN GENERAL.—The Secretary shall review the list of accreditation organizations designated under subparagraph (B) taking into account the factors under subparagraph (A). Taking into account the results of such review, the Secretary may, by regulation, modify Deadlin e .
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