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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