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