Validation Site Survey
The ACR will perform virtual or in person site surveys to validate compliance with accreditation criteria. Note: These visits will be unannounced for MIPPA facilities (modalities in non-hospital facilities that require imaging accreditation for CMS reimbursement).
We strongly advise sites to use the documents below to gather and organize information for these site surveys.
Helpful Hints for Validation Site Surveys
Make sure all personnel, including supervising physician and facility administrator, are updated and correct in ACRedit.
The following items are typically not found by the surveyor during a survey:
- Policies for primary source verification, verifying that personnel are not included on the Office of Inspector General exclusion list (MIPPA sites only)
- Consumer complaint notice that gives patient contact information for the ACR (MIPPA sites only)
- Documentation of initial qualifications, continued education and continued experience for the interpreting physician and medical physicist. Self-documentation is not acceptable.
Submit questions about validation site surveys and all corrective action to firstname.lastname@example.org.