NARHC Forum
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| 8/10/2020 @ 5:34:00 PM
Post 1 of 1
Contributor: Nathan Baugh, National Association of Rural Health Clinics
Today, CMS posted on their website that the Appropriate Use Criteria Mandate would be delayed another year. CMS is extending the "educational and operations testing period" another year to give the entire industry more time to prepare before reimbursement is at risk. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Appropriate-Use-Criteria-Program NOTICE: The EDUCATIONAL AND OPERATIONS TESTING PERIOD for the AUC Program has been extended through CY 2021. There are no payment consequences associated with the AUC program during CY 2020 and CY 2021. We encourage stakeholders to use this period to learn, test and prepare for the AUC program. Background: The appropriate use criteria mandate would require that clinicians ordering advanced imaging (MRI, CT, PET) confirm that their order is "appropriate" through an electronic clinical decision support mechanism. Eventually, information about this consultation will be required on the advanced imaging Medicare claim for payment. |
