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:
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