CareSelect™ Imaging No-Fee Clinical Decision Support Mechanism
National Decision Support Company offers a complimentary, no-fee web application of its qualified Clinical Decision Support Mechanism (qCDSM) in collaboration with its qPLE partners to enable widespread access to the tools needed for compliance with the Protecting Access to Medicare Act (PAMA).
The no-fee web application delivers a combination of Appropriate Use Criteria (AUC) published by three qualified Provider-Led Entities (qPLE) including the American College of Radiology, the American College of Cardiology and the National Comprehensive Cancer Network and is fully qualified for use as a qCDSM under PAMA.
Web Application Workflow Overview
Web Application Registration
We are currently awaiting the 2018 Medicare Physician Fee Schedule (MPFS) Final Rule, due out in November 2017. This rule will finalize all workflow requirements needed to ensure PAMA compliance.
NDSC is currently in the development process to enable the No-Fee qCDSM with all consultation and reporting features needed to ensure compliance with PAMA. If you are interested in future access to the No-Fee qCDSM, please:
Accessing NDSC’s qualified Clinical Decision Support Mechanism (qCDSM)
NDSC offers access to an ambulatory specific solution through certain EMR partners to compliment the furnishing providers’ workflow. For individual physicians wishing to access a standalone qCDSM, NDSC also offers web site access on a no fee basis.
NDSC’s ambulatory version enables providers to refer tests to providers together with the necessary evidence of AUC consultation when placing orders.
NDSC offers this specific program to ensure that every order for Medicare Advanced Imaging has evidence of consultation and that providers who refer, but do not furnish tests have an easy way to create the required evidence of consultation. Enabling furnishing organizations and providers to have the required data for a payable claim. This complimentary program is designed to streamline the referral segment of the radiology market and eliminate the need for duplicate CDSM consultation.
Organizations that furnish services, and wish to have the CDSM integrated with their EMR for the purposes of compliance (ordering, furnishing and claims submission for advanced imaging services) must subscribe to the NDSC service known as CareSelect Imaging.
Learn More About PAMA
The Protecting Access to Medicare Act of 2014 established requirements to consult Appropriate Use Criteria (AUC) when ordering and furnishing Medicare Part B advanced imaging services (CT, MR, PET, NM). The PAMA program starts with a voluntary reporting period from July 2018—December 2019. Formal requirements for consultation and data submission will begin in January 2020 with a one-year “Educational and Testing” period. A consultation is required for every advanced imaging service. AUC consultation offers an alternative form of prior authorization for Medicare Part B Advanced Imaging services, without cumbersome administrative processes.
CMS has also announced key changes to the 2018 Merit-based Incentive Payment System (MIPS) measurement year of the Quality Payment Program (QPP). Health systems and ordering providers will now receive high-weighted credit under the Practice Improvement Activity and Advancing Care Information categories by attesting that they have implemented and are consulting AUC for all advanced imaging exams through a qualified Clinical Decision Support Mechanism (qCDSM).