MEDICARE APPROPRIATE USE CRITERIA

New Physician Ordering Requirements

The purpose of the Clinical Decision Support/Appropriate Utilization Criteria (CDS/AUC) program is to guide you in ordering the most appropriate imaging test for your patient.

Under this program, at the time a practitioner orders an advanced diagnostic imaging service for a Traditional Medicare beneficiary, he/she, or clinical staff acting under his/her direction, will be required to consult a qualified Clinical Decision Support Mechanism (CDSM). This includes studies using:

  • Computed Tomography (CT)
  • Magnetic Resonance Imaging (MRI)
  • Positron Emission Tomography (PET) and
  • Nuclear Medicine (NM)

We are currently in the CMS ‘education and operations test period’ that will run through December 31, 2021, during which we are setting up the necessary computer systems so we can go-live on January 1, 2022.

If your EMR does not currently offer a Clinical Decision Support (CDS) option, University Radiology has a solution for you. For more information, please select the CDS Contact Form on the right side and one of our team members will be able to answer your questions and/or assist you with your enrollment in our Physician Portal.

Additional information is available on the CMS website:
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Appropriate-Use-Criteria-Program