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In the rapidly evolving field of virtual contrast supervision, cutting-edge technology and advanced telehealth capabilities often take center stage. However, the unsung hero in this process is the radiologic technologist. Without a well-trained and confident radiologic technologist on the front line, even the best virtual supervision systems cannot deliver their full potential.

As the Centers for Medicare & Medicaid Services (CMS) continues to evolve policies supporting virtual care, the newly proposed CY 2026 Medicare Physician Fee Schedule introduces several key updates that could significantly impact how imaging centers and hospitals deliver contrast supervision. At ContrastConnect, we view these proposals as a positive step toward cementing remote supervision as a safe, compliant, and scalable standard of care.

The advanced copy of the CY 2026 Medicare Physician Fee Schedule proposes making Virtual Supervision Permanent

Modern imaging deserves modern policy. AB460 is a step in the right direction.

In November 2024, the Centers for Medicaid and Medicare Services extended the use of remote contrast supervision and telecommunications through 2025, with the extension slated to expire December 31, 2025.

Using an unpublished version of the final rule, the Centers for Medicare & Medicaid Services has extended the authorization for virtual supervision of Level 2 diagnostic tests until December 31, 2025. It is a promising extension to virtual supervision and its possibility of a permanent installation within medical facilities across the U.S..

This article goes into detail about the key requirements for contrast media supervision, including recent changes to CMS and ACR guidelines, and the importance of compliance.

The RBMA advocates for making virtual supervision in radiology permanent to improve patient access and response times amid a radiologist shortage.

Centers for Medicare & Medicaid Services (CMS) extended the allowance for remote monitoring of specific diagnostic imaging exams through December 2025.

The American College of Radiology (ACR) released an updated statement on February 26th, 2024 on the supervision requirements for contrast media.

American College of Radiology (ACR) urged the Centers for Medicare and Medicaid Services (CMS) to make virtual supervision of diagnostic tests permanent.

CMS approves extending virtual direct supervision through the end of 2024.

The American Society of Radiologic Technicians states that medical imaging and radiation therapy professionals can administer medications other than contrast media under the supervision of a physician.