Radiology Question for the Week of October 4, 2021

Question:

When reporting for appropriate use criteria in the future, what must be included in the claims?

Answer:

Overall, note that claims for advanced diagnostic imaging services must include:

• The ordering professional’s national provider identifier (NPI)
• Which CDSM was consulted among the multiple qualified CDSMs available
• Identifying if the service ordered would or would not adhere to consulted AUC or if the consulted AUC was designated as not applicable to the ordered service.

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