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Nuclear Medicine and Positron Emission Tomography (PET) credentialling for Medicare 012-42020050

This document outlines information about the credentialling of nuclear medicine specialists and consultant physicians for Medicare purposes.

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Assess and process a Nuclear Medicine credentialling notification

Assess and process a Nuclear Medicine and PET credentialling notification

Assess and process a PET credentialling notification

Assess and process a request from JNMCAC to end date Nuclear Medicine credentialling

Assess and process a Nuclear Medicine credentialling notification

Table 1

Step	Action
1	Confirm medical practitioner’s details in the Provider Directory System (PDS) + Read more ... Notification to recognise a medical practitioner as credentialled in Nuclear Medicine comes directly from the JNMCAC. The Resources page has an example of this document. Open the PDS: Select Provider Select View Select Detailed Search In the Family name field key the first 3 letters of the last name followed by a % In the Given name field key the first 3 letters of the first name followed by a % Select Profession Select Medical Practitioner Select Search A list of health professionals with a matching name displays Or Conduct a Basic Search using the provider number quoted on the JNMCAC notification: Open PDS Select Provider Select View Search ID: key the first 6 numerals quoted Select Search Is there a record for the medical practitioner? Yes, go to Step 2 No, escalate to Local Peer Support (LPS)
2	Check the PDS for specialty codes + Read more ... Medical practitioner must have one or both of the following specialty codes: 048 – Nuclear Medicine 090 – Consultant Physician Nuclear Medicine If neither of these speciality codes appear on stem, escalate to Local Peer Support (LPS).
3	Process nuclear medicine credentialling in PDS + Read more ... Check the medical practitioner’s information supplied by JNMCAC. Select Edit Select Specialty tab Select add specialty code Key the 149 speciality code from the date specified by the JNMCAC. Note: the start date can be in the past, but not be earlier than the date the specialist recognition (048 and/or 090) was granted Select Add New Select Save Credentialling specialty is now added to the PDS.
4	Confirmation Letter + Read more ... Select and complete the letter template. Complete relevant fields Print letter Save letter as PDF Upload letter to PaNDA Check the following are correct: Surname First Name Provider number, and Case ID fields Add note to the PaNDA file indicating Nuclear Medicine Credentialling has been processed, and any other relevant details Select Complete Select Request Approved Select Save Send the letter via post to the medical practitioner

Assess and process a Nuclear Medicine and PET credentialling notification

Table 2

Step	Action
1	Confirm medical practitioner’s details in the Provider Directory System (PDS) + Read more ... Open the PDS: Select Provider Select View Select Detailed Search In the Family name field key the first 3 letters of the last name followed by a % In the Given name field key the first 3 letters of the first name followed by a % Select Profession Select Search A list of health professionals with a matching name displays Or Conduct a Basic Search using the provider number quoted on the JNMCAC notification: Open PDS Select Provider Select View Search ID: key the first 6 numerals quoted Select Search Is there a record for the medical practitioner? Yes, go to Step 2 No, escalate to Local Peer Support (LPS)
2	Check the PDS for specialty codes + Read more ... Medical practitioner must have one or both of the following specialty codes: 048 – Nuclear Medicine 090 – Consultant Physician Nuclear Medicine If neither of these speciality codes appear on stem, escalate to Local Peer Support (LPS).
3	Process Nuclear Medicine credentialling in PDS + Read more ... Check the medical practitioner’s information supplied by JNMCAC. Select Edit Select Specialty tab Select add specialty code Key the 149 speciality code from the date specified by the JNMCAC. Note: the start date can be in the past, but not earlier than the date the specialist recognition (048 and/or 090) was granted Select Add New Key the 630 speciality code from the date specified by the JNMCAC. Note: start date can be in the past but must not be earlier than the date specialist recognition (048 and/or 090) was granted) Select Save Credentialling specialty is now added to the PDS.
4	Confirmation Letter + Read more ... Select and complete the letter template. Complete relevant fields Print letter Save letter as PDF Upload letter to PaNDA Check the following are correct: Surname First Name Provider number, and Case ID fields Add note to the PaNDA file indicating Nuclear Medicine Credentialling has been processed, and any other relevant details Select Complete Select Request Approved Select Save Send the letter via post to the medical practitioner. Note: include the Positron emission tomography - statutory declaration form (HW064)

Assess and process a PET credentialling notification

Table 3

Step	Action
1	Confirm medical practitioner’s details in the Provider Directory System (PDS) + Read more ... Open the PDS: Select Provider Select View Select Detailed Search In the Family name field key the first 3 letters of the last name followed by a % In the Given name field key the first 3 letters of the first name followed by a % Add the Date of Birth Select Profession Select Search A list of health professionals with a matching name displays Or Conduct a Basic Search using the provider number quoted on the JNMCAC notification: Open PDS Select Provider Select View Search ID: key the first 6 numerals quoted Select Search Is there a record for the medical practitioner? Yes, go to Step 2 No, escalate to Local Peer Support (LPS)
2	Check the PDS for specialty codes + Read more ... Medical practitioner must have one or both of the following specialty codes: 048 – Nuclear Medicine 090 – Consultant Physician Nuclear Medicine If neither of these speciality codes appear on stem, escalate to Local Peer Support (LPS).
3	Process Nuclear Medicine credentialling in PDS + Read more ... Check the medical practitioner’s information supplied by JNMCAC. Select Edit Select Specialty tab Select add specialty code Key the 630 speciality code from the date specified by the JNMCAC. Note: start date can be in the past but must not be earlier than the date specialist recognition (048 and/or 090) was granted) Select Add New Select Save Credentialling specialty is now added to the PDS.
4	Confirmation Letter + Read more ... Select and complete the letter template. Complete relevant fields Print letter Save letter as PDF Upload letter to PaNDA Check the following are correct: Surname First Name Provider number, and Case ID fields Add note to the PaNDA file indicating Nuclear Medicine Credentialling has been processed, and any other relevant details Select Complete Select Request Approved Select Save Send the letter via post to the medical practitioner. Note: include the Positron emission tomography - statutory declaration form (HW064)

Assess and process a request from JNMCAC to end date Nuclear Medicine credentialling

Table 4

Step	Action
1	Confirm medical practitioner’s details in the Provider Directory System (PDS) + Read more ... Open the PDS: Select Provider Select View Select Detailed Search In the Family name field key the first 3 letters of the last name followed by a % In the Given name field key the first 3 letters of the first name followed by a % Select Search A list of health professionals with a matching name displays Is there a record for the medical practitioner? Yes, go to Step 2 No, escalate to Local Peer Support (LPS)
2	Check the PDS for specialty codes + Read more ... The medical practitioner must have specialty code, 149 – Nuclear Medicine credentialling. If the speciality code does not appear on the medical practitioner’s stem, escalate to Local Peer Support (LPS).
3	Process Nuclear Medicine credentialling removal + Read more ... Check the medical practitioner’s information supplied by JNMCAC. Select Edit Select Specialty tab Select Amend link at the end of the 149 specialty code line Amend dialog box appears Add the end date, as advised in the JNMCAC notification Select Update confirmation box 149 specialty code now appears with an end date Select Save Credentialling specialty is now end-dated in the PDS. The 149 code applies only at stem level, not location level.
4	Confirmation Letter + Read more ... Send the letter template. Complete relevant fields Print letter Save letter as PDF Upload letter to PaNDA Check the following are correct: Surname First Name Provider number, and Case ID fields Add note to the PaNDA file advising the Nuclear Medicine Credentialling has been ended, and any other relevant details Select Complete Select Save Send the letter via post to the medical practitioner.