Lexology February 19, 2024
The Centers for Medicare & Medicaid Services (CMS) just released a new transmittal for Medicare Administrative Contractors (MACs) to put fully into place the agency’s suspension of the Appropriate Use Criteria for Advanced Diagnostic Imaging (AUC) program. The action to pause the AUC program occurred when the CY 2024 Medicare Physician Fee Schedule (MPFS) final rule went into effect on January 1, 2024.
The AUC Program was first enacted by Congress in the Protecting Access to Medicare Act of 2014 (PAMA). Congress had sought to gain savings in Medicare spending by mandating the assessment of the need for the more costly outpatient advanced diagnostic imaging studies (computed tomography, positron emission tomography, nuclear medicine, and magnetic resonance imaging) when those studies...
Today's Sponsors
Today's Sponsor