tci General Surgery Coding Alert - 2018 Issue 3

Reader Question: Look Ahead to Appropriate Use for Imaging

Question: To comply with the CMS rule about appropriate use for imaging, we recently added a Clinical Decision Support Mechanism (CDSM) module to our Electronic Health Records (EHR). Does a physician have to query the CDSM, or can support-staff run this and inform the physician? Louisiana Subscriber Answer: Whoever is ordering the test is the clinician who needs to get on the software, advises Cindy C. Parman, CPC, CPC-H, RCC, AHIMA Approved ICD-10-CM trainer and executive vice president of Coding Strategies, Inc. It is a decision tree and there are questions about the patient that must be answered. And...

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