Part B Insider - 2018 Issue 3
Reader Question: Look Ahead to Appropriate Use for Imaging
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Article Overview
This reader Q&A addresses a CMS imaging appropriate-use compliance topic centered on clinical decision support mechanism workflows inside EHR systems. It is aimed at clinicians, physicians, coders, and practice staff who need to understand how the process is handled at a high level and what broad Medicare reporting context applies. The article also notes the relevant reporting framework for advanced diagnostic imaging and discusses implementation considerations for linked or separate software tools.
Why This Topic Matters
Imaging appropriate-use requirements can affect ordering workflows, documentation processes, and Medicare compliance. Understanding the general expectations around clinical decision support and the reporting context helps practices prepare their systems and staff without missing operational requirements.
What You Will Learn
- How CMS appropriate-use imaging compliance is described in a clinical decision support workflow
- Who in the ordering process is generally responsible for interacting with the decision support tool
- What broad implementation issues may arise when a decision support module is connected to or separate from an EHR
- How the article frames Medicare reporting context for advanced diagnostic imaging
Who Should Read This
- Physicians
- Ordering clinicians
- Medical coders
- Billing staff
- Practice managers
- Health information management staff
Modifiers Discussed
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