Independent Diagnostic Testing Facilities (IDTF)
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As payment methods change and as hospitals and health systems search to find lower cost alternatives to meet patient needs, IDTF’s are emerging as a feasible option of staying in the outpatient imaging field as they maintain costs by focusing on one service, translating to less overhead. So, what exactly is an IDTF?
- Diagnostic testing facility which is independent both of an attending and consulting physician’s office and of a Hospital
- May be a fixed location or a mobile entity
- Requires enrollment under Medicare Part B
- Requires one or more supervising physician(s)
- Requires IDTF Technician
- Diagnostic procedures performed at an IDTF are reimbursed under the physician fee schedule when performed by an IDTF
What are the benefits of an IDTF?
- Responsive to non-governmental payers’ potential non-coverage of hospital-based diagnostics
- Expansion of the continuum of care
- Response to market competition
- Increase market share
- The ability to integrate into a system’s ambulatory care strategy
- Governance, ownership and operational flexibility outside of the hospital’s structure
- Enhanced Medicare reimbursement through specific structures
IDTFs and Shared Space
- Freestanding IDTFs cannot:
- Share practice location space with another Medicare-enrolled individual or organization;
- Lease or sublease operations or its practice location with another Medicare-enrolled individual or organization; or
- Share diagnostic testing equipment with another Medicare-enrolled individual or organization
- Exceptions: Hospital-based IDTFs and Mobile IDTFs
There are multiple structures and corresponding regulations for an IDTF:
- Sole ownership
- Joint Venture
- Roll-Up of multiple sites
- Under Arrangement
How Can We Help?
Hospitals and health systems may find that IDTFs are a viable option to serve patient needs and to continue to be a provider of outpatient imaging. The Advis Group takes a comprehensive approach in helping its clients determine if an IDTF is an option, including:
- Feasibility/Market Assessment
- Financial Impact
- Regulatory Compliance
Advis is well-versed in feasibility analysis, as well as, development for IDTFs. If you have further questions don’t hesitate to contact us.