New Clinical Decision Support requirement

Starting January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) is requiring that clinicians ordering advanced diagnostic imaging services (MRI, CT, PET/CT, Nuclear Medicine) for Medicare Part B (outpatient) beneficiaries consult appropriate use criteria (AUC) through a qualified Clinical Decision Support Mechanism (CDSM).

CMS, which administers the Medicare program, is implementing this new requirement with a one‐year Educational and Operations Testing Period during which claims will not be denied or delayed for failing to include or misreporting AUC information.

CDI accepts results from all federally qualified CDSMs – and all required services ordered through our Medical Professionals Portal will automatically be stepped through a qualified CDSM to comply with the new requirements. Click here to order online.

CDI has a range of workflow solutions to help referring clinicians meet this new requirement. Whether referring clinicians order by fax, phone, interface or portal, CDI will work with referring clinicians to ensure that all Medicare orders are processed appropriately.

Contact Us - Appropriate Use Criteria

If you have questions or would like more information on meeting the new CMS requirements, please fill out the form below, and our team will reach out to you.
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