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MARCH
6, 2006 -- Blue Cross Blue Shield of Kansas City (BCBSKC)
has introduced a radiology privileging criteria program to practitioner
groups within its service area, stating that "criteria
implementation to all practitioner group sites will enhance
service quality and safety of the diagnostic imaging studies
delivered to our members and your patients."
The
objective of BCBSKC's privileging program is to "facilitate
and promote an interrelated group of operational and professional
criteria to ensure that practitioner groups providing CT, MR,
plain film and PET services to membership are equipped and proficient
to extend quality-driven service, technologically sound delivery
and expertise within a safe and efficient environment."
Practices
will be required to successfully complete the privileging program
in order to continue providing imaging services to the BCBSKC
PPO and HMO membership. BCBSKC has retained National Imaging
Associates (NIA), a radiology management company, to function
as the BCBSKC privileging program administrator and education
consultant.
Guidelines Specific To PET
- High
performance full ring PET systems will be considered
- PET
must be performed by a hospital; or partially owned by a a
hospital as part of a joint venture or other partnership;
or owned and operated by an oncology practice clinically affiliated
with a hospital or community based cancer treatment program(s);
or there is an access need
- Staffed
on-site by a BCBSKC credentialed practitioner, board-certified
within a specialty whose scope and expertise is related to
the study being performed and interpreted or by a BCBSKC credentialed
diagnostic radiology or nuclear medicine practitioner
- Achieve
accreditation by the American College of Radiology (ACR) or
Intersocietal Commission for the Accreditation of Nuclear
Medicine Laboratories (ICANL) within one (1) year of BCBSKC
privileging
- Practitioner
must submit evidence of accreditation application within three
(3) months of BCBSKC privileging
- Employ
technologists certified in Nuclear Medicine through AART,
CNMT or NMTCB
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