5160-11-01 Definitions: independent laboratory, portable x-ray supplier, independent diagnostic testing facility (IDTF), and mammography supplier.

 

 

 

TO BE RESCINDED

 

5160-11-01                  Definitions: independent laboratory, portable x-ray supplier, independent diagnostic testing facility (IDTF), and mammography supplier.

 

 

 

(A)       "Independent laboratory" means a facility established for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials of the human body for the purpose of obtaining information for the diagnosis, prevention, or treatment of any disease or impairment of, or for the assessment of the health of, human beings. It is independent of an attending or consulting physician's office or group practice, a clinic, an ambulatory surgery center, or a hospital. A laboratory under the ownership and direction of a physician or physician group is considered to be an independent laboratory if it is represented to other physicians that both the physician-owner(s)/director(s) and the facility are available for the performance of laboratory procedures. Facilities that only collect or prepare specimens or that function only as a mailing service and do not perform testing are not considered to be laboratories.

 

(B)   "Portable x-ray supplier" means an entity established for the provision of diagnostic x-ray services in a consumer's place of residence.

 

(C)     "Independent diagnostic testing facility (IDTF)" means a facility or an entity established for the performance of diagnostic tests that are conducted by licensed or certified nonphysician personnel under appropriate physician supervision. An IDTF may be a fixed location, a mobile entity, or an individual nonphysician practitioner. It is independent of an attending or consulting physician's office or group practice, a clinic, an ambulatory surgery center, or a hospital. A diagnostic testing facility under the ownership and direction of a physician or physician group is considered to be an independent diagnostic testing facility if it is represented to other physicians that both the physician-owner(s)/director(s) and the facility are available for the performance of diagnostic tests.

 

(D)    "Mammography supplier" means a facility or an entity established solely for the provision of mammography services. For billing and payment purposes within the Ohio medicaid program, a mammography supplier is treated as an independent diagnostic testing facility.

 

 

 

 

 

 

 

 

 

 

 

5160-11-01         Effective:	TO BE RESCINDED         04/01/2016	2
Five Year Review (FYR) Dates:	11/19/2015
CERTIFIED ELECTRONICALLY
Certification
02/29/2016
Date
Promulgated Under:	119.03
Statutory Authority:	5164.02
Rule Amplifies:	5162.03, 5164.02, 5164.70
Prior Effective Dates:	04/07/1977, 05/09/1986, 02/17/1991, 07/01/1993,
	08/01/2001, 05/25/2006, 06/01/2009