Outreach and Education

NOTICE: The payment penalty phase will not begin January 1, 2023 even if the PHE for COVID-19 ends in 2022. Until further notice, the educational and operations testing period will continue. CMS is unable to forecast when the payment penalty phase will begin.

NOTICE: All CDSMs and PLEs qualified as of July 2022 will remain qualified through this cycle. Applications for initial qualification or re-qualification will not be accepted for the 2023 application cycle.

MLN Matters Articles

Appropriate Use Criteria for Advanced Diagnostic Imaging – Fact Sheet (PDF)

Appropriate Use Criteria for Advanced Diagnostic Imaging – Voluntary Participation and Reporting Period - Claims Processing Requirements – HCPCS Modifier QQ (PDF) (MM10481)

Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging - Educational and Operations Testing Period - Claims Processing Requirements (PDF) (MM11268)

Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging- Approval of Using the K3 Segment for Institutional Claims (PDF) (SE20002)

Change Requests (CRs)

Appropriate Use Criteria for Advanced Diagnostic Imaging – Voluntary Participation and Reporting Period - Claims Processing Requirements – HCPCS Modifier QQ (PDF) (CR10481, Transmittal 2040)

Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging - Educational and Operations Testing Period - Claims Processing Requirements (PDF) (CR11268, Transmittal 2323)

Open Door Forums

/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts (Rural Health, Open Door Forum, Thursday, March 7, 2019) Discussion of critical access hospitals begins on page 10 of the transcript and at minute 23:15 of the audio file.