Adding the capability for in-house Cone Beam CT exams can have major benefits for orthopaedic practices. It can speed your workflow, boost your productivity and support a higher standard of care. It can even help differentiate your practice from the competition. However, any US facility performing CT scans must obtain accreditation prior to receiving reimbursements from Medicare and many private payers. This process has many aspects, and at first glance can seem confusing. This document will give you the simple answers to common accreditation questions.

1. OnSight 3D Extremity System
Questions about
Cone Beam CT
Accreditation?
No Problem.
Let’s Clarify the Process.
Adding the capability for in-house Cone Beam CT
exams can have major benefits for orthopaedic
practices. It can speed your workflow, boost your
productivity and support a higher standard of care.
It can even help differentiate your practice from
the competition.
However, any facility performing CT scans must
obtain accreditation prior to receiving reimbursements
from Medicare and many private payers. This process
has many aspects, and at first glance can seem
confusing. But it needn’t be – and that’s where this
brochure comes in. Read on, and learn the simple
answers to common accreditation questions.

2. A Clear Pathway
to Accreditation.
What is CBCT accreditation?
The Medicare Improvements for Patients and Providers Act (MIPPA)
requires all providers who bill the Center for Medicare and Medicaid
Services (CMS) to be accredited by a CMS-approved organization
to receive reimbursement for their services. Many private payers
also require accreditation for reimbursement. Accreditation is the
best way for facilities to demonstrate they meet national quality
standards for patient and practitioner safety and image quality.
What is required for accreditation?
Accreditation entails a review of physics testing, personnel
documentation, policy and procedures – as well as sample clinical
images. The Intersocietal Accreditation Commission (IAC) is an
organization that is CMS-approved to grant CBCT accreditation.
You can learn more about the IAC at www.intersocietal.org/ct.
Why is accreditation important to my
practice?
This certification assures patients that you're dedicated to best
practices and safe, high-quality medical testing. They can feel
confident that your practice has been thoroughly evaluated and
approved on all metrics for CBCT imaging.
In addition, certification is directly linked to your image revenue
since CMS and many private insurance companies have made
reimbursement contingent on accreditation.
Is it true that seeking accreditation can be
time-consuming?
Yes. Accreditation involves some complexities and challenges.
However, the benefits to your practice, in terms of patient safety,
productivity and revenue potential, make it easily worth the effort.
How can Carestream support me in this
endeavor?
We have partnered with LANDAUER Medical Physics (LMP), a
respected global company, to offer purchasable services designed to
walk you step-by-step through the accreditation process. LMP will
also fulfill your required physics testing and assist you in completing
the necessary documents for accreditation.
Why LANDAUER?
LANDAUER is the world leader in radiation science in healthcare
applications. Their staff includes renowned experts in imaging physics,
with unparalleled expertise in radiation safety and market-leading
dosimetry technology. LMP focuses on the image-quality optimization,
addressing shielding requirements, and specializing in supporting
facilities like yours in achieving accreditation. LMP can help you
navigate the accreditation process with speed and efficiency –
no false starts, missteps, wasted time or productivity losses. Learn
more about LANDAUER Medical Physics at www.landauermp.com.
What are we looking at in terms of cost?
We take pride in making accreditation guidance affordable for our
customers, because we want you to start realizing the return on your
OnSight System purchase as quickly as possible. It’s also important
to note that all OnSight owners are required by the state and IAC to
undergo an annual physics test. LMP can provide this annual service
for an additional fee. It’s recommended that this service agreement
with LANDAUER be put in place at the time of install. LANDAUER
will also offer you a 33% discount on dosimetry when you opt to
purchase their accreditation services.
How long will accreditation take?
It will typically take 30 days after installation and physics testing to
collect the required documentation and case studies and submit the
selected accrediting organization's application. LANDAUER will work
with you, step by step, to gather the required data. It will typically
take 8-12 weeks for accreditation once an application is filed.
With Guidance Every Step of the Way.

3. Elements Description
Shielding Design Determines appropriate room shielding
to comply with radiation dose limits of
National Council on Radiation Protection,
state regulations and ALARA guidelines
Complete input form that includes scaled
room dimensions, scan volume and use of
adjacent space
Medical Physics CBCT
Acceptance Test/
Equipment Survey*
An evaluation of image quality, radiation dose
and equipment mechanical safety performed
by a qualified physicist, as required by
accrediting bodies and many state agencies*
Work with LMP to schedule time
for onsite visit
State Registration Completion of forms for state registration Provide LMP with required information
Policies & Procedures
Manual Template
LMP will provide a diagnostic CT Policy
and Procedure Manual TEMPLATE that
can be used by the practice as a guidepost
to accreditation
Complete manual and provide template as
required by Accreditation Organization
Accreditation
Application Assistance
Completion of forms for accreditation
application as well as prompting
to maintain timeline and populate
application
Begin Accreditation process
(create account, pay for application)
Medical Practice Staff
Training & Assistance
Initial online CT radiation safety, dose
and risk for medical staff (includes 3-hour
web-based training and certificate)
Complete CT online training
Post-Installation
Shielding Survey*
Confirmation by a physicist that the
radiation levels in controlled and
non-controlled areas meet dose limits
Work with LMP to schedule time
for onsite visit
N/A
Policies & Procedures
Manual Completion
LMP will fill in the CT Policy and Procedure
Manual with information provided by
Carestream and the medical practice for
Accreditation submission
Provide practice and staff details to LMP
N/A
N/A
N/A
QC Program
Participation
(IAC Accreditation
Requirement)
A medical physicist will participate in
radiation quarterly (QC) safety meetings for
the first year. Full access by phone or email
to a qualified expert during business hours*
Identify individuals for key roles in CT safety
and lead the scheduling of quarterly QC
meetings. LMP will participate as Physicist
with at least 4 weeks advance notice
(12 weeks preferred for optimal planning)
N/A
*For ongoing service after the first year, LMP can be contracted
directly for Equipment Survey and QC meeting participation.
Turnkey Accreditation
Support Package
Physics Testing
Support Package
To get the ball rolling, contact your local Carestream Rep today!
Orthopaedic Practice
Preparation/Actions
You say you’ll tailor the program to our
requirements. What does that look like?
If you are familiar with the accreditation process, having sought
certification previously, we offer a Physics Testing Support
Package that includes the necessary radiation shielding design and
all physics testing required for accreditation. If this is your first CT
system, and/or you’re completely new to the process, you’ll want our
complete Turnkey Accreditation Support Package – providing
comprehensive support that includes step-by-step assistance with
your application and staff training, in addition to the physics testing.
Whichever you choose, these packages will help you achieve
accreditation rapidly – so you can begin imaging with your OnSight
System and receiving reimbursement revenue as soon as possible.
See the chart below for more details. You can also download the
IAC CT Standards documentation from the IAC’s website. Just go to
www.intersocietal.org/ct and click on the “standards” tab.

4. CT Imaging at the
Point of Care.
OnTarget.
OnBudget.
OnTime.
© Carestream Health, Inc., 2016. CARESTREAM is a trademark of Carestream Health. CAT 2000 208 12/16
® LANDAUER and Intersocietal Accreditation Commission (IAC) Improving health care through accreditation are registered trademarks.
carestream.com/onsight
NO MATTER WHICH ROAD YOU’RE ON,
WE’LL GET YOU WHERE
YOU NEED TO GO.
RIGHT FOR TODAY.
READY FOR TOMORROW.
S M A R T X - R AY S O L U T I O N S
A Community of Service and Support
For dependable service, look to
our Customer Success Network.
We work continuously to improve
your imaging performance, help you
to innovate as needs change, and make the most of your
budget and resources. Carestream’s Customer Success
Network surrounds you with a dynamic team of experts,
with a Single Point of Entry for easy, customized access to
the right people in every situation. You and your patients
will benefit from the expertise and best practices only
Carestream can deliver – based on thousands of customer
engagements worldwide and our 100-year heritage in
medical-imaging innovation.
Right for Today. Ready for Tomorrow.
Carestream is ready to help you plan the most effective route
to your X-ray imaging future. Our scalable equipment design
and modular components mean high performance today,
along with easy, affordable upgrades for years to come.
Let’s plan your equipment migration together – you’ll gain
the confidence that your current technology investment will
continue to pay dividends well into your future.
A world leader in diagnostic
imaging has introduced a
revolution in cone beam CT.
The CARESTREAM OnSight
3D Extremity System is designed
specifically for use in orthopaedic clinics – and offers the
affordability, space-saving design and minimized installation
requirements to make this a reality. Even for smaller facilities.
The OnSight System performs upper and lower 2D and 3D
extremity exams – including weight-bearing studies not
possible with traditional CT. It can speed diagnoses and
enhance patient care. It even offers you some compelling
business advantages.
The OnSight System is OnTarget, OnBudget and OnTime.