How does CMS (formerly HCFA) reimbursement relate to MQSA certification?
As long as a facility has a valid MQSA certificate and meets MQSA quality standards, CMS will reimburse it for Medicare-covered screening and diagnostic mammography examinations. CMS also accepts MQSA inspections in lieu of conducting its own inspections. CMS will not reimburse facilities that do not have an MQSA certificate. The amount and frequency of reimbursement will still be governed by CMS regulations and facilities will still need to use their CMS provider number. To receive reimbursement from CMS, the facility needs to also submit the FDA or Certifying State facility ID number as it appears on its certificate to CMS with its request for reimbursement.