Special Provisions for Radiology Additional Documentation Requests


This article discusses a pilot process enabling MACs to request pertinent documentation from the treating or ordering provider during medical review. This effort supports the necessity and payment for radiology services and items billed to Medicare. CMS revised this article to reflect the revised Change Request (CR) 11659. CMS didn’t need to change any other content due to the CR revisions.





Last Updated: 04/16/2021