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Information for mammography facility personnel, inspectors, and consumers              
about the implementation of the Mammography Quality Standards Act of 1992 (MQSA)
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CMS Reimbursement for Mammography

The Food and Drug Administration (FDA) sends the Centers for Medicare and Medicaid Services (CMS) an electronic file every Tuesday night which contains the most recent information on facilities approved by FDA to provide mammography services, including digital mammography. Mammography facilities must be certified by FDA in order to be eligible for reimbursement under Medicare. As a first step you might want to ensure that your carrier or fiscal intermediary is looking at the most recent FDA mammography file. If the carrier or intermediary has the most recent file and there is still a reimbursement issue, please contact CMS as follows:

For Medicare carrier issues:
Eric Coulson
Phone: 410- 786-3352
Email: Eric.Coulson@cms.hhs.gov

For Medicare fiscal intermediary issues:
Bill Ruiz
phone at 410-786-9283
email william.ruiz@cms.hhs.gov

Updated September 26, 2008

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