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The Ordering of Diagnostic Tests Rule covers imaging tests performed in a testing facility, and the Conditions of Participation: Radiology Service Rules covers hospital inpatients and outpatients.
The Centers for Medicare and Medicaid Services defines a testing facility as a physician, group of physicians, or independent diagnostic testing facility (IDTF) that furnishes diagnostic tests to Medicare patients.
With a dedicated afterhours team of specialists in Body Imaging, Neuroradiology and Pediatric Radiology, partner hospitals will receive the same subspecialty reads at a.m. “With an ever-increasing focus on quality outcomes, our hospital members are under pressure to ensure that their patients receive the best care, all the time,” said Michael Scott, vice president, CHA Shared Services.
Radiologists and managers should be conscious of the two sets of rules and develop policies that are clear and that apply consistently to all radiology technical and medical staff members.
DRC will deliver to CHA hospital members the most comprehensive subspecialized afterhours radiology care available.
CMS does not allow radiologists to change the originally ordered test.
It reasons that the radiologist may not know the true intent of the order or of previous studies performed on the patient prior to this request.