Radiology Business May 10, 2022
In an effort to reduce the number of inappropriate advanced imaging exams, the Centers for for Medicare and Medicaid Services (CMS) plans to implement a new requirement for appropriate use criteria clinical decision support (AUC/CDS) software consultation documented on all radiology requests. These CDS systems are supposed to be in place and in use beginning Jan. 1, 2023.
CMS said after Jan. 1, 2023, claims submitted without compliance certificates from CDS will be rejected, or face a 15% payment reduction. This is a mandate written into the Protecting Access to Medicare Act of 2014 (PAMA)
The AUC/CDS mandate was a big topic of discussion at the Radiology Business Management Association (RBMA) 2022 meeting in late April. RBMA offered a...
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