In This Issue
Messages from Chapter Leadership
Message from the Regent
Message from the Chapter President
Articles of Interest
New CMS Requirement for Advanced Imaging Orders: Appropriate Use Criteria (AUC)
Healthcare Sustainability
Learn the Art of Dialogue and Have Open, Productive Conversations
Diversity
Perspectives on Diversity and Inclusion
Calendars and Recent Events
Calendar of Events
Calendar of Educational Events
News & Committee Updates
News from the Education Committee
News from the Guam Local Program Chapter
Student Corner
Membership Report: New Fellows, Members, and Recertified Fellows
ACHE Resources
ACHE National News
Career Corner
Access Complimentary Resources for the BOG Exam
Disclaimers/Sponsors
Ensure delivery of Chapter E-newsletter (Disclaimer)
Thank you to all our Sponsors
New CMS Requirement for Advanced Imaging Orders: Appropriate Use Criteria (AUC)
Sally Belles, MBA-HCM, RDN, CDE
Beginning January 1, 2020, the Protecting Access to Medicare Act (PAMA) of 2014 will require that providers ordering advanced diagnostic imaging exams consult Appropriate Use Criteria (AUC) through a qualified Clinical Decision Support Mechanism (qCDSM).  CMS approved qCDSMs are designed to be fully integrated into an existing EHR to help meet the new Medicare requirement when ordering advanced diagnostic imaging studies.  
 
AUC criteria are developed and endorsed by national professional medical specialty societies or other provider-led entities (PLEs), and are meant to guide ordering and furnishing professionals to make the most appropriate treatment decision for the patient given the specific clinical condition or indication.  
 
Throughout 2020, claims payments will not be impacted and no penalties will be incurred, i.e., claims will continue to be paid even when evidence of consultation of AUC is missing or entered incorrectly.  Starting January 1, 2021, full implementation of the CMS program will require evidence regarding the ordering provider's consultation using a qCDSM.  AUC consultation information must be appended to professional and facility claims for the service in order for the claim to be paid.  Although full details aren't yet available, penalties may be applied to claims submitted without evidence of AUC consultation for Medicare Part B advanced diagnostic imaging services furnished to Medicare FFS patients.  
 
Click here for comprehensive information and to learn more about CMS's AUC program.