VIDEO: Preparing for radiology appropriate use criteria clinical decision support reporting requirements

Lisa Mead, PSO executive director, Strategic Radiology, spoke at the Radiology Business Management Association (RBMA) 2022 meeting on radiology practices being prepared for the January 2023 deadline to have appropriate use criteria clinical decision support (AUC/CDS) software operational. 

However, this mandate has been pushed back annually since 2016 when it was first supposed to go into effect, and there are questions if it will be delayed yet again. Several medical imaging societies are calling on Congress to repeal the AUC/CDS mandate because they believe it will cause delays in care, involve more administrative staff time, add costs to healthcare and delay new guidelines and recommendations from being quickly added into CDS systems.

The Centers for Medicare and Medicaid Service (CMS) said beginning Jan. 1, 2023, claims submitted without compliance certificates from CDS will be rejected. Mead's RBMA session provided a refresher on the AUC/CDS requirements and discussed methods that are working or not in getting prepared. She also reviewed the components of the appropriate use criteria clinical decision support program mandated by PAMA, and the methods that can be utilized by practices to successfully coordinate hospitals and referring providers in program implementation.

Related RBMA and Appropriate Use CDS Mandate Content:

American Society of Nuclear Cardiology urges Congress to speed prior authorizations, repeal AUC mandate

VIDEO: Imaging societies ask Congress to repeal appropriate use decision support mandate

VIDEO: The importance of the Physician Practice Information Survey and its impact on radiology reimbursements — Interview with Linda Wilgus, CPA, CMPE

VIDEO: RBMA radiology administrator compensation survey expands insights during the great resignation

Around the web

A collection of medical images from hospitals in Ukraine showing radiology equipment in use and clinical images of wounded soldiers and civilians.

Eric Williamson, MD, president of the Society of Cardiovascular Computed Tomography (SCCT) and professor of radiology at Mayo Clinic, explains how the iodine contrast shortage is causing issues for cardiac CT imaging and ways this can be mitigated.

Signs of breast arterial calcification on a patient’s routine mammogram may suggest they face a greater risk of cardiovascular disease.

Trimed Popup
Trimed Popup