CareSelect Imaging™ Individual Use Website Version
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).
Starting January 1, 2019 evidence of a consultation of AUC by an Ordering Provider must be attached to the claim for it to be payable. 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).
CareSelect Imaging delivers Appropriate Use Criteria AUC published by the American College of Radiology, the American College of Cardiology and the National Comprehensive Cancer Network®. Each, a qualified Provider Led Entity (qPLE).
National Decision Support Company (NDSC) offers a complimentary no-fee web site version of its qualified Clinical Decision Support Mechanism (qCDSM) in collaboration with its qPLE partners to enable widespread access to the tools needed for compliance.