We don’t think your going to be learning how to du ultrasound; it’s not what you need to be doing. At least not what you need to be doing on a routine basis.
But ultrasound is a solid extension of your physical examination skills and your future will flourish with its use.
Make yourself more valuable, to your patient and your doctor, and save you all a lot of time.
Though ultrasound involves a fundamental paradigm shift for your practice, the process to learn and use it is a straightforward as any other procedure. The good news is that you already know most of what you need to master it; you just need a new exam protocol and a new way of seeing. We can help you fast track both.
You’ll use this powerful tool to answer questions better, on the spot. No exotic calculations, not endless data gathering to issue a term-paper-like report.
Though you’ll never use it as a revenue producing procedure, you will find it to be the same time saver physicians across the world have. And as the U.S. moves steadily toward a DRG model for outpatient payment, your time and the leverage you provide will be more priceless than ever.
We offer public courses and on site tutorials in all clinical applications throughout the year.
Contact us. We’ll be delighted to steer you to your proper nest step.
Credentialing Facts Briefing
Physicians and Abdominal/Obstetric/Breast Ultrasound
There is presently no Medicare directive requiring sonographer
certification as a prerequisite to reimbursement for these procedures.
Oregon, New Mexico have state law requiring all sonographers to be
credentialed to practice in any field. Other states are considering
similar actions. Private insurance carriers may have separate policies.
The American Institute of Ultrasound in Medicine has recommended
guidelines in place to ensure the highest standard of facility
compliance. Learn more.
Physicians and Cardiac Ultrasound
Medicare is evolving its policies state by state; many states already
require technologist credentialing as a condition for reimbursement.
Physician credentialing is required in some, but not all states as a
prerequisite to reimbursement by Medicare. Learn more.
Private payers are adopting more rigorous policies, but uniformity
across the nation is still years away; ICAEL posts the most current
positions of the nations largest private payers on its site here.
Eventually the entire US will follow suit. The National Board of Echocardiography
is currently the only credentialing board for doctors and prerequisites
include either cardiovascular board certification or specialized post
graduate medical training in cardiovascular medicine, plus
interpretation experience.
Physicians and Vascular Ultrasound (all applications)
Medicare has directives throughout the entire United States that require
physicians interpreting vascular ultrasound provide evidence of
specialized training, specific to the technology. Sonographers
performing vascular ultrasound studies must either possess certification
un vascular ultrasound or (in some states) perform the exam under the
supervision of a certified sonographer.
Inspect your state’s specific Medicare policy for both physicians and technologists here.
Private insurance carriers may have different policies. ICAVL no longer
posts information from private insurance carriers; you will need to
contact them directly for current or pending policy. In general, most
require at least 10-15 hours of focused training int the specialty area.
Some states now require formal certification for physicians to read.
Most hospitals‘ labs are ICAVL credentialed, which requires reading
physicians to have met formal training standards in medical school or
informally, by the following
pathway:
• 40+ hours of Category 1 CME specific to vascular testing
within the prior three years, plus
• 8 hours of supervised practical experience or
observation in a credentialed vascular laboratory, and
also
• documentation of 100 cases interpreted and overread by
a credentialed-lab physician, in each specialty area of
application. Learn more.
Only one agency can credential primary care physicians in all areas of
vascular ultrasound interpretation. As we noted above, this credential
is presently required only in certain states. The American Registry of
Diagnostic Medical Sonographers (ARDMS) offers the Registered Physician
Vascular Interpretation credential; it has a 96% pass rate. Learn more.
Specifically Regarding Facilities Credentialing
Two separate agencies credential echocardiography and vascular
laboratory services: ICAEL and ICAVL, respectively. Private offices and
hospitals providing vascular ultrasound studies (whether in conjunction
with echocardiography or as a standalone service) should be--and will
eventually be
required to be--credentialed by the appropriate agency.
The entire body of certification guidelines can now be downloaded for free: ICAEL Guidelines and ICAVL Guidelines.
The process is still voluntary, and payment is still allowed in
non-credentialed labs provided physician and sonographer credentialing
criteria have been met. This will likely change by 2012.
Sonographer Credentialing
Three different bodies can credential sonographers in vascular
ultrasound: the ARDMS, CCI, or the American Registry of Radiologic
Technologists. The ARDMS and CCI credentials are equally recognized by
Medicare in all states and territories; they have nearly equal pass/fail rates
and test on the same content. The ASRT credential is open only to
qualified registered radiologic technologists and is not presently
recognized by Medicare in all fifty states.
The prerequisites for the ARDMS and CCI are unique to the various
entry-level backgrounds and experience. You can quickly navigate the
current prerequisites (always subject to change) with the color-coded charts here.
Our post graduate courses move you closer to all of these goals.
You know better than anyone: This is not easy; it takes time. And the
best use of your time, around the clock, is with us and our 24-hour Scan
Lab.
We differentiate ourselves from every other
teaching institution by eliminating the most common barriers to hand-eye
and bioinformatics competence. The average compression ratio for our
courses is 12:1; twelve years of experience to one day in class.
Comprehensive written materials, integrated with the live experience,
amplify and concrete learning for years to come.
Post conference mentoring continues for free, for life.
We offer public courses, private tutorials, and practice/industry consultation on all aspects pertaining to the clinical research, engineering, business, and governmental issues surrounding the field.
Contact us; we’re at your service and glad to help, in any way at all.
Ultrasound can leverage your time exponentially.
Will you master the process?