Imaging Informatics Execs Prepare for Appropriate Use Criteria Requirement Go-Live in January

Making clinical decision support easy to use for referring providers seen as competitive advantage

Starting Jan. 1, 2020, Medicare is going to require proof that clinicians who order advanced imaging for their outpatients have consulted an approved appropriate use knowledge base as a prerequisite for the imaging provider to get reimbursed. Next year is a testing year, and potential penalties kick in the following January. Describing it as another flavor of pre-authorization, imaging informatics executives are working to make compliance easy for ordering providers who are not on the same electronic health record system.

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