Appropriate Use Criteria & Imaging Clinical Decision Support 

Course Details:

  • Category: Imaging and Radiology
  • Duration: 30 Minutes
  • Target Audience: MRI /Radiology/Imaging Employees; Medicare Part B Beneficiaries

Course Overview: The purpose of the appropriate use criteria program is to enable providers to order the most appropriate test for the patient. The Centers for Medicare & Medicaid Services will use data collected from the program to identify outlier ordering professionals who will become subject to prior authorization. In 2020 Medicare Part B providers must consult Appropriate Use Criteria (AUC) for ordering advanced diagnostic imaging services through a qualified Clinical Decision Support Mechanism (CDSM). This training provides the information providers will need to adhere to this change.

Training Includes:

  • Background of Protecting Access to Medicare Act (PAMA)
  • Clinical Decision Support Mechanisms
  • Documentation
  • Reporting and Consulting
  • CMS CDSM Qualifications
  • Developing Appropriate Use Criteria
  • Priority Clinical Areas
  • Payment for AUC Consultation
  • AUC Reporting Exceptions
  • Imaging Clinical Decision Support Goals