Advanced Practice Providers AUC Resources

Effective Jan. 1, 2020, the Protecting Access to Medicare Act (PAMA) requires referring clinicians to consult appropriate use criteria (AUC) prior to ordering advanced diagnostic imaging services (CT, MR, Nuclear Medicine and PET) for Medicare outpatients — including those performed in the emergency department (ED).

Below are suggested resources and activities to help Advanced Practice Providers (including nurse practitioners and physician assistants) become familiar with the PAMA requirements.

1. Get prepared for PAMA implementation


2. Read the series Imaging Stewardship in the Age of Value published in the Journal of the American College of Radiology.


3. Become more proficient at ordering high-value imaging exams


Complete the Value-Based Imaging Activities and obtain a certificate of participation that documents participation in an activity designated for AMA PRA Category 1 Credits™.

  1. Value-based Imaging Podcasts discuss strategies for image ordering and highlight how the ACR Appropriateness Criteria® supports Choosing Wisely® recommendations.
  2. CDS Choosing Wisely Case Reviews present cases designed to test knowledge of appropriate imaging and CDS technology that delivers evidence-based AUC to guide selection of the most appropriate imaging for patients.

Access Value-Based Imaging Activities »

4. Prepare to meet PAMA requirements by participating in R-SCAN


Learn how a nurse practitioner championed improved imaging care for patients and how to access the R-SCAN resources she used: