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GUIDELINES SPECIFIC TO NUCLEAR CARDIOLOGY
- Nuclear
cardiology practices must employ at least one physician who
is Highmark credentialed in diagnostic radiology, nuclear
medicine or has received certification by the Certification
Board of Nuclear Cardiology (CBNC).
- Nuclear
cardiology practices that do not meet the above criteria will
be considered for participation upon submitting evidence that
at least one physician has satisfied the Level II training
in Nuclear Cardiology as recommended in the American College
of Cardiology / American Society of Nuclear Cardiology, Core
Cardiology Training Symposium (COCATS) Training Guidelines.
- Nuclear
cardiology imaging systems must have the capability of assessing
both myocardial perfusion and contractile function (ejection
fraction and regional wall motion).
- Cardiac
stress tests must be performed under the direct supervision
of a licensed physician who has a current Advanced Cardiac
Life Support (ACLS) certification.
- Nuclear
cardiology practices must provide a copy of the Radioactive
Materials License that indicates the practice address and
name of the nuclear cardiology physician(s) performing and/or
interpreting nuclear cardiology studies. The address and physician
name(s) must be the same as those listed on the Privileging
Application completed by the practice.
- Nuclear
cardiology practices must use a technologist who is certified
in Nuclear Medicine through the ARRT [RT(N)], Certified Nuclear
Medicine Technologist or Nuclear Medicine Technology Certification
Board [CNMT], or licensed by the state in nuclear medicine
technology.
- Nuclear
cardiology practices must achieve accreditation by the ICANL
(Intersocietal Commission for the Accreditation of Nuclear
Medicine 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.]
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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