An internal review of radiology cases claimed under POAC has highlighted many X-ray requests that do not align with the plain X-Ray HealthPathway
POAC funded X-ray should be reserved for same day imaging where results will inform immediate management and/or determine requirement for acute hospital admission. To support claims, clinical notes submitted to POAC must include documentation of same—day review of the X-ray result and the subsequent plan for patient care.
When X-ray results will not inform immediate management patients should be referred:
• to their DHB walk-in service for CXR (all DHBs) and AXR (ADHB only); or
• via DHB e-Referral or Access to Diagnostics .
A number of clams have been submitted for abdominal x rays in the work up of renal stones. Abdominal X-ray is no longer recommended for initial diagnosis of renal stones, and claims will be declined unless the imaging has been endorsed by a named specialist. Refer Renal Colic HealthPathway