PICC placement and insertion complications

i am working with medicare to see if we can be reimbursed for placing picc lines. their concern is we are not in a hospital to place the picc's where we could call on md's if complications arise. picc's have been placed for years in the home care setting, so why can't we do it as independent contractors? is there any regulation allowing or disallowing outside placement? any research or guidance would be appreciated! also, potential complication with insertion...direction to percent of insertion complications would also be helpful>

what kind of an agency are you or are you setting up a new business to go around as consultants inserting piccs.........your biggest hurtle would be a medical director taking responsibility and yoiur individual state practice acts supporting the home insertion by rn's or not. the rest would be standards of care and policy.

a resource:

http://www.piccresource.com/faq.php

fortunately, state guidelines and organizations such as the infusion nurses society (ins) exist. the ins is a non-profit organization established in 1973 to ensure high quality in infusion therapy for patients and to establish standards and guidelines to be followed by nurses involved in the specialty practice of infusion therapy care and procedures. the ins has published standards of practice position papers that require clinicians to possess and demonstrate specific and comprehensive knowledge related to picc insertion and care. another important organization is the association of vascular access (ava), ava is a multidisciplinary organization composed of clinicians, educators, regulators and manufacturers from the medical field of vascular access. part of ava's published mission is to improve patient safety, comfort and outcomes; and optimize professionals' knowledge and skills in vascular access. the best programs will have their education and clinical assessment criteria founded on the basis of standards, guidelines, and recommendations set by government and leading industry organizations such as the ins and ava and organizations like the center for disease control (cdc), the joint commission (jchao), and the institute for healthcare improvement (ihi).