MedCity News August 12, 2021
The new CMS Mandate on CDSM takes effect on January 1, 2022. Is your organization ready for compliance when ordering outpatient advanced imaging?
As a late addition to the “Protecting Access to Medicare Act” (PAMA) passed by Congress in 2014, the Centers for Medicare and Medicaid Services (CMS) has initiated the Appropriate Use Criteria (AUC) Program, which includes the Clinical Decision Support Mechanism (CDSM). The mandate requires ordering providers to consult an AUC software program when ordering advanced imaging tests and then issuing a certificate of compliance to the rendering provider so that they will be reimbursed by Medicare.
The AUC program was designed to support diagnosing physicians when they order advanced imaging tests, but, counterintuitively, impacts the rendering...
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