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CMS Establishes 1st Component for Medicare AUC Program

from SCAI

The Centers for Medicare and Medicaid Services (CMS) is laying out requirements for organizations that will develop appropriate use criteria (AUC). Last year, Congress mandated that physicians ordering advanced imaging procedures use AUCs in evaluating whether that procedure is necessary. We suspect that this mandate could be applied to many other procedures in the future. In 2017, those ordering advanced imaging tests must consult applicable AUC using a qualified clinical decision support (CDS) tool and report the results of this consultation on Medicare claims.

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