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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