December 11, 2019

Clinical Decision Support: Are Your Referrers Ready?

Starting Jan. 1, 2020, the Protecting Access to Medicare Act (PAMA) requires referring providers to consult appropriate use criteria (AUC) via a CMS-qualified clinical decision support mechanism (qCDSM) prior to ordering CT, MR, Nuclear Medicine and PET exams for Medicare patients.

Starting in January, the mandatory AUC consult program will begin with a one-year “Educational and Operations” testing period (with no penalties on rendering physicians for incorrect reporting). After the testing period, rendering providers will not receive Medicare payment for the procedure without a correctly documented AUC consult.

What You Need to Know

The ACR can help educate you and your referring providers about the AUC mandate with a collection of information and tools, including:

  • Webinars
  • PAMA-AUC Toolkit
  • Resources
  • Background Materials
  • Videos
  • Tips and FAQs

Watch On Demand: ACR-RBMA “Medicare AUC Mandate – Countdown to Launch!” Webinar

This ACR-RBMA webinar helps get you ready for the looming Medicare AUC-based clinical decision support requirement. Slide deck »Q&A summary »