Imaging Companies Ask Congress to Repeal Appropriate Use Decision Support Mandate

The ASNC says Medicare’s Appropriate Use Criteria (AUC) mandate would take resources away from quality improvement efforts by requiring additional administrative burden.

“It’s not the appropriate usage criteria that we have a problem with, it’s the decision support mandate, because it’s too prescriptive and there’s a hassle factor and a time factor involved,” said explained Thompson.

The legislation would require electronic pre-authorization, improve transparency for beneficiaries and providers, and strengthen Centers for Medicare and Medicaid Services (CMS) oversight of how imaging is used in relation to pre-authorization. The ASNC said the law recognizes that physicians should focus on patient care, not navigating the prior authorization process to get patients their recommended tests, procedures and treatments.

It is expected to come into effect on January 1, 2023, or the January 1 following the declared end of the public health emergency for COVID-19. Implementation of the mandate has already been delayed for several years, originally scheduled for 2016. Thompson said CMS had experienced several technical issues with the rule and vendors had not received clear guidance from CMS. from the start as to what they needed the CDS software to do. be certified.

For more details, read the full article The American Society of Nuclear Cardiology Urges Congress to Expedite Prior Authorizations and Repeal the AUC’s Mandate.

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