Special Provisions for Radiology Additional Documentation Requests

MLN Matters Number: MM11659
Related CR Release Date: October 30, 2020
Related CR Transmittal Number: R10412OTN
Related Change Request (CR) Number: 11659
Effective Date: December 1, 2020
Implementation Date: December 1, 2020

CR 11659 discusses a pilot process enabling MACs to request pertinent documentation from the treating/ordering provider during medical review, in an effort to support the necessity and payment for radiology service(s)/item(s) billed to Medicare. Make sure that your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11659.


            Last Updated Mon, 02 Nov 2020 22:20:11 +0000