Clinical Decision Support Presentation and Resources

Our September Newsletter

Clinical Decision Support

Thank you to everyone who attended our Clinical Decision Support Lunch & Learns! Below are links to the presentation and other helpful resources. If you were unable to attend, please review the presentation below and share with your office. If you have any questions about CDS, please feel free to reach out to Charlotte Williams at (205) 343-0925 or cwilliams@tuscrad.com

Presentation

Medicare Resource

AIM Link

AIM Resource

Updated Scheduling Form

Modifiers and G-Codes

Modifiers - Identifies Whether It Adheres

ME - The order for this service adheres to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional

MF - The order for this service does not adhere to the appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional

MG - The order for this service does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional

G-Code - Identifies the CDSM

G1000 - Clinical Decision Support Mechanism Applied Pathways , as defined by the Medicare Appropriate Use Criteria Program

G1001 - Clinical Decision Support Mechanism eviCore , as defined by the Medicare Appropriate Use Criteria Program

G1002 - Clinical Decision Support Mechanism MedCurrent , as defined by the Medicare Appropriate Use Criteria Program

G1003 - Clinical Decision Support Mechanism Medicalis , as defined by the Medicare Appropriate Use Criteria Program

G1004 - Clinical Decision Support Mechanism National Decision Support Company , as defined by the Medicare Appropriate Use Criteria Program

G1005 - Clinical Decision Support Mechanism National Imaging Associates , as defined by the Medicare Appropriate Use Criteria Program

G1006 - Clinical Decision Support Mechanism Test Appropriate , as defined by the Medicare Appropriate Use Criteria Program

G1007 - Clinical Decision Support Mechanism AIM Specialty Health , as defined by the Medicare Appropriate Use Criteria Program

G1008 - Clinical Decision Support Mechanism Cranberry Peak , as defined by the Medicare Appropriate Use Criteria Program

G1009 - Clinical Decision Support Mechanism Sage Health Management Solutions , as defined by the Medicare Appropriate Use Criteria Program

G1010 - Clinical Decision Support Mechanism Stanson , as defined by the Medicare Appropriate Use Criteria Program

G1011 - Clinical Decision Support Mechanism, qualified tool not otherwise specified , as defined by the Medicare Appropriate Use Criteria Program

Helpful Notes:

If you are unsure if a certain CPT code requires you consult the CDS mechanism, you can search the CPT code within the AIM portal and it will stop you if the study does not require it.
You only have to access the CDS Mechanism for regular Medicare, not Medicare Advantage.
Even if a test does not adhere, the physician can still order it. Make sure to provide us with the CDS number and the modifier MF.
If you do not have the Clinical Decision Support Module in your AIM portal, go to your account and then user roles to enable it. If you don't know how to get to the AIM portal, use the link above.
You do not have to provide the date of service to get the CDS number.
You will need to consult a CDSM to get the CDS/AUC number for all advanced imaging studies scheduled after January 1st, 2020.
We highly recommend starting to consult now using the AIM solution so you are familiar with the process.

Satisfied Patients: Our Proven Process

Ease of Ordering

We always have live support to save you and your staff time. Our Pre-Certification team can provide assistance and expertise when you need it. For your patients, we offer in-house insurance verification and an up-front price estimate before they arrive .

Patient Satisfaction

At The Radiology Clinic, we not only strive for precise imaging and an accurate diagnosis but also to ensure patients are as comfortable as possible and feel good about their exam. Our goal is for all customers to be satisfied customers to ensure you never receive complaints from your patients after a visit to us. Our patients rate their interactions with our staff and overall experience here " excellent" or "above average" 97% of the time.

Convenience for Your Patients

We are open from 7am to 7pm Monday through Friday and 8am to noon on Saturdays. Our Nuclear Medicine Department is open from 7am to 4pm Monday through Friday. Easily accessible from McFarland Boulevard, our location is just north of the Black Warrior River, with ample free parking which provides easy access to our clinic.

Speed of Reporting

We endeavor for the highest quality of care with timely results, which is why our knowledgeable staff of technologists and radiologists are always accessible by phone if you ever have any questions regarding a report.

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If you know which department to call, reach them directly:

Scheduling (205) 345-2000

File Room (205) 345-5777

Precert - (205) 345-2071

Insurance - (205) 343-0999

Billing Questions - (205) 343-0909

CT - (205) 345-4350

Fluoroscopy - (205) 345-6238

Mammography - (205) 345-6877

MRI - (205) 345-3817

Nuclear Medicine - (205) 345-2563

Ultrasound - (205) 345-5586

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