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Breaking News: Highmark Blue Cross Blue Shield (Western PA) Unveils Program To Help Ensure High-Quality Imaging Services [continued]


from the September 2004 issue

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GUIDELINES SPECIFIC TO ECHOCARDIOGRAPHY

  • Echocardiography must be performed by physicians credentialed by Highmark and/or Keystone Health Plan West in diagnostic radiology or cardiology.
  • Echocardiography systems must have color flow Doppler capability.
  • Echocardiography practices must achieve accreditation by the ICAEL (Intersocietal Commission for the Accreditation of Echocardiography Laboratories) within two years of provisional acceptance in the Privileging Program. [NOTE: Practice must submit evidence of application for accreditation within 3 months of receipt of the letter indicating provisional acceptance.]

GUIDELINES SPECIFIC TO PERIPHERAL VASCULAR (PV) ULTRASOUND

  • PV Ultrasound must be performed by physicians credentialed by Highmark and/or Keystone Health Plan West in diagnostic radiology, vascular surgery, cardiology or neurology.
  • PV Ultrasound providers must employ a sonographer certified by the American Registry of Diagnostic Medical Sonographers (ARDMS) or ARRT.
  • PV Ultrasound systems must have color flow Doppler capability.
  • PV Ultrasound providers must achieve accreditation by the ICAVL (Intersocietal Commission for the Accreditation of Vascular Laboratories) or the ACR (American College of Radiology) within two years of provisional acceptance in the Privileging Program. [NOTE: Practice must submit evidence of application for accreditation within 3 months of receipt of the letter indicating provisional acceptance.]

The Highmark Privileging Guidelines also include requirements for Bone Densitometry; Obstetrical/Gynecological Ultrasound; Urological Imaging; Mammography; Positron Emission Tomography (PET); CT, MR and/or Fluoroscopy and Practices Specializing in Women's Health. Diagnostic imaging providers with questions about any of the above guidelines should contact the National Imaging Associates (NIA) Quality Assessment Department at 888-972-9642 or their Highmark Provider Relations Representative.


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