NEWS FLASH! North Dakota, Oregon, and New Mexico are the First Three States Requiring Sonographers to be Registered by an Organization!


North Dakota, Oregon, and New Mexico are the First Three Statesregistered sonographers Requiring Sonographers to be Registered by an Organization!

April 2, 2015

North Dakota has now become the 3rd State in the country (the two others being Oregon and New Mexico) to pass a law requiring Sonographers to be licensed by the state. Credentialing through nationally recognized agencies such as the ARDMS and CCI will be acceptable forms of documentation.

For the complete bill, see:

Prepare for the registry board exams with Registry Reviews by Gulfcoast Ultrasound Institute’s Registry Reviews Week!

Confidence. Competence. Proven Results.


URGENT NEWS FLASH – Affecting Physicians Seeking RPVI Credential!

ARDMSThe ARDMS has just released a new update stating that as of August 12, 2014, Ultrasound Case Studies from accredited education facilities will no longer be accepted to meet the recommended 500 cases needed to sit for the PVI examination.1 The ARDMS is currently accepting applications through March 10, 2014 for those planning to sit for the April 9 –May 13 examination window. 2  This first examination window of 2014 will still allow Cases obtained by education providers to be used toward PVI examination prerequisites.

What does this mean?

If you apply with ARDMS to take your exam BEFORE March 10, 2014:

  • Applicants will be able to use a case log from an accredited education provider to meet necessary case study prerequisites for the April 9 – May 13, 2014 PVI examination period. Example: Vascular Case Studies – Online Classroom

If you wait to apply with ARDMS to take your exam AFTER March 10, 2014:

  • All case study prerequisite requirements (500 cases) must be obtained in a clinical setting.

How can I prepare for my PVI Examination?

  • If you need cases to meet your examination prerequisites you can register for the Vascular Case Studies – Online Classroom, which will meet case study requirements for 100 cases for those taking their PVI examination between April  9 – May 13, 2014. This activity is also approved for 16 AMA PRA Category 1TM credits to fulfill the 12 CME credit requirements.
  • Prior to taking your examination, there is also an RPVI Registry Review Course at Gulfcoast Ultrasound Institute in-person or live online February 20-21, 2014 in St. Pete Beach, FL. (The RPVI Registry Review is also available Online, On-Demand.)


ARDMS Official Press Release:

2 ARDMS RPVI Exam / Application Schedule:

ARDMS Announces Windowed Administration for the Registered Physician in Vascular Interpretation (RPVI) Credentialing Examination

ARDMS Announces Windowed Administration for the Registered Physician in Vascular Interpretation (RPVI) Credentialing Examination

RPVI_Windowed_Administration_Press_Release(ROCKVILLE, MD, February 22, 2013) The American Registry for Diagnostic Medical Sonography® (ARDMS®) announced today that the Registered Physician in Vascular Interpretation® (RPVI®) credentialing examination will be offered during select windowed administration periods with the first window administration to begin in November, 2013. Beginning in year 2014, the PVI examination will be offered during two one-month windows each year. The PVI examination will no longer be available on demand year-round. Scores for each window examination period will be available approximately sixty (60) days after the period ends. The last day to apply for on demand testing is May 31, 2013.

The chart below details the administration and application dates. The RPVI section of the ARDMS website also displays this information and allows interested parties to request reminder e-mails for application periods and examination administration dates.

RPVI Examination Administration Dates Application Dates
Present – On Demand Testing Applications accepted through May 31, 2013
November 14 – December 16, 2013 August 14 – October 14, 2013
April 9 – May 13, 2014 January 9 – March 10, 2014
November 12 – December 16, 2014 August 12 – October 13, 2014

The RPVI credential, exclusively for physicians, validates the clinical expertise fundamental for vascular ultrasound interpretation and provides recognition of the skills and knowledge required to make consistent and accurate diagnoses in vascular disease.

Offering the examination during two windowed test administrations per year will assure that the quality and rigor of the RPVI credentialing examination is maintained. Additionally, windowed administrations will allow for progressive testing technologies and questions to be embedded within the assessment as developed by physician subject matter experts in the practice of vascular ultrasound.

Beginning in 2014, earning the RPVI credential will be a requirement to sit for the American Board of Surgery’s Vascular Surgery Qualifying Examination.  Additionally, the RPVI credential is required for completion of many vascular surgery fellowship programs.

“The need for a quality RPVI examination, aligned with primary medical Board recognitions and post medical residency fellowship program requirements demonstrates that employers, insurance companies and the sonography community are placing a high value on RPVI certification,” said Colleen Moore, MD, Chair of the ARDMS PVI Examination Development Task Force. “The certification demonstrates the depth of knowledge, proven experience and a commitment held to patient care.”

For more information about the RPVI credential, please visit


The American Registry for Diagnostic Medical Sonography® (ARDMS®), incorporated in June 1975, is an independent, nonprofit organization that administers examinations and awards credentials in the areas of musculoskeletal sonography, diagnostic medical sonography, diagnostic cardiac sonography, vascular technology and physician vascular interpretation. ARDMS credentialing programs (RDMS, RDCS, RVT and RPVI) are accredited by ANSI-ISO 17024 and the National Commission for Certifying Agencies (NCCA). ARDMS has nearly 80,000 certified individuals in the U.S., Canada, and throughout the world and is the recognized international standard in sonography credentialing.


ARDMS. ARDMS Announces Windowed Administration for the Registered Physician in Vascular Interpretation Credentialing Examination.
ARDMS. Published Feb 22nd, 2013. Accessed April 12, 2013.


Certifications, Reimbursement and Lab Accreditation Updates

EchocardiographyEver changing certification, lab accreditation and reimbursement standards for echocardiography and vascular ultrasound can be confusing and hard to keep up with. To help out we’ve bundled it up, listed useful links to the right resources and summarized the key points to help answer all those burning questions.


Did you know; if you currently hold a certification from the ARDMS (American Registry of Diagnostic Medical Sonographers) you will not be required to begin taking the recertification exam until 2019 and will not have to pass it until 2022?

This includes all RDMS, RVT and RDCS registered Technologists. For all new certifications earned after January 1, 2012, you will have to take your recertification exams starting 10 years after you have acquired your credential.
* for more information regarding recertification and credentialing, please visit


Did you know; reimbursement requirements for Medicare varies from state to state?

Several states require either lab accreditation and/or sonographer/physician credentialing for reimbursement. This applies to echocardiography and non-invasive vascular studies.

Full policy details and individual state reimbursement directive can be found on the Centers for Medicare & Medicaid (CMS) website.

To find a payment policy, go to and follow these instructions:

  1. Click on Advanced Search
  2. Under Search by Document Type, check Local Coverage Documents
  3. Under What documents types do you want to search for? Check All Policies (LCD) and then Final Policies
  4. Select Geographic Area (State) AND/OR Contractor Criteria
  5. Type the testing area you are searching for (i.e., noninvasive vascular) or the LCD ID # into Enter Keyword(s) box and choose Title
  6. Click Search by Type box
  7. A page will appear asking you to accept the Terms & Conditions, Click Agree
  8. A new page will open with your search results

Additional information on reimbursement for individual states can found on the ICAVL website for vascular reimbursement and the ICAEL website for echocardiography.

Lab Accreditation:

Did you know; by 2017 ICAVL (Intersocietal Commission for the Accreditation of Vascular Laboratories) requires all technical staff to be registered to comply with lab accreditation?

Appropriate credentialing: RVT (Registered Vascular Technologist) from the ARDMS, RVS (Registered Vascular Specialist) from CCI or RT (VS) (Registered Technologist Vascular Sonography) from the ARRT.

Additional information on credentialing can be found at, , or

Did you know; that ICAEL (Intersocietal Commission for the Accreditation of Echocardiography Laboratories) is changing their physician requirements?

All physicians who do not have level 2 or 3 echocardiography training must pass the NBE (National Board of Echocardiography) by 2015 to comply with ICAEL accreditation. The purpose of the NBE is to establish the domain of the practice of echocardiography for the purpose of certification, assess the level of knowledge demonstrated by a licensed physician practitioner of echocardiography in a valid manner, enhance the quality of echocardiography and individual professional growth in echocardiography, formally recognize individuals who satisfy the requirements set by the NBE, and serve the public by encouraging quality patient care in the practice of echocardiography.

For more information on the NBE please visit

Training Level

Cumulative Duration
of Training

Minimum Number of
Examinations Performed

Minimum Number of
Examinations Interpreted

Level 1

3 months



Level 2

6 months

150 (75 additional)

300 (150 additional)

Level 3

12 months

300 (150 additional)

750 (450 additional)

Additional information on reimbursement for individual states can be found on the ICAVL website for vascular reimbursement and the ICAEL website for echocardiography.