News | Clinical Decision Support | June 23, 2016

ACR Appropriateness Criteria Now Satisfy Federal AUC Requirements

Imaging providers can consult resources including ACR Select web portal to fulfill authorization requirements for advanced diagnostic imaging

ACR Select, Appropriateness Criteria, federal AUC requirements, qPLEs

June 23, 2016 — The Centers for Medicare & Medicaid Services (CMS) has named the American College of Radiology (ACR) a “qualified Provider-Led Entity” (qPLE) approved to provide appropriate use criteria (AUC) under the Medicare Appropriate Use Criteria program for advanced diagnostic imaging. This means that medical providers can consult ACR Appropriateness Criteria to fulfill impending Protecting Access to Medicare Act (PAMA) requirements that they consult AUC prior to ordering advanced diagnostic imaging for Medicare patients. 

Appropriateness criteria use has been shown to improve quality, reduce unnecessary imaging and lower costs. ACR Appropriateness Criteria, in existence for more than 20 years, define national guidelines for the most appropriate medical imaging exam for a patient’s condition, if any imaging is needed at all. These comprehensive criteria cover 215 topics and more than 1,080 clinical indications.

ACR Select, licensed by National Decision Support Company (NDSC), contains the digital version of the ACR Appropriateness Criteria diagnostic topics. This platform can be integrated with all major computerized ordering or electronic health record (EHR) systems to guide providers when ordering medical imaging scans. ACR Appropriateness Criteria, via ACR Select, are freely available to all physicians via the ACR Select web portal. The ACR Select delivery platform provided by NDSC also delivers AUC published by other PLEs or criteria sources. 

Under PAMA, CMS will soon require consultation of appropriate use criteria developed by a qPLE in the ordering of advanced diagnostic imaging exams (computed tomography, magnetic resonance imaging, nuclear medicine including positron emission tomography) as a condition for reimbursement to imaging providers. Only a small number of qPLEs have been approved. Appropriateness criteria-based clinical decision support systems help improve care quality and appropriateness without delaying needed care the way that costly and inefficient imaging prior-authorization programs often can. 

To help referring providers and radiologists become familiar with appropriateness criteria-based clinical decision support systems, the ACR is administering the CMS-funded Radiology Support, Communication and Alignment Network (R-SCAN). R-SCAN is a collaborative action plan that brings radiologists and referring clinicians together to improve imaging appropriateness. 

For more information: www.acr.org

Related Content

Siemens Healthineers Introduces Share360 Tailored Service Portfolio
News | Cardiac Imaging| November 10, 2017
To address the specific needs of medical imaging clinical engineering departments nationwide, Siemens Healthineers has...
TeraRecon Introduces 175-Plus New Features in iNtuition 4.4.13
Technology | Advanced Visualization| November 06, 2017
November 6, 2017 — TeraRecton announced the launch of version 4.4.13 of its iNtuition...
Societies Detail Treatment for Patients With Ventricular Arrhythmias
News | EP Lab| October 30, 2017
The American College of Cardiology, along with the American Heart Association and the Heart Rhythm Society, published...
Appropriate Use Criteria Published for Valvular Heart Disease Imaging Tests
News | Clinical Decision Support| October 16, 2017
The American College of Cardiology (ACC), along with several partnering societies, recently released appropriate use...
ACR Appropriateness Criteria Add Topics, Increase Diagnostic Imaging Clinical Scenarios
News | Clinical Decision Support| October 11, 2017
Radiologists can enhance the quality and effectiveness of care with the newest release of the ACR Appropriateness...
Philips IntelliSpace cardiovascular information system (CVIS)

The Philips IntelliSpace is an example of the newer generation of cardiovascular information systems (CVIS) that can consolidate all cardiology department data sources into one location.

Feature | Cardiac PACS| October 04, 2017 | Dave Fornell
Consolidation of data in one location to improve efficiency and enable data analytics, as well as smooth integration
Medical Metrics Taps Digisonics Cardiovascular Information Systems for Clinical Trials
News | Cardiac PACS| October 03, 2017
October 3, 2017 – Medical Metrics, an experienced core laboratory for multi-center clinical trials, has implemented t
Abbott. St. Jude Medical has updated its firmware to address cybersecurity issues with its Allure Quadra MP and other EP devices

Abbott. St. Jude Medical has updated its firmware to address cybersecurity issues with its Allure Quadra MP and other EP devices.

Feature | EP Lab| August 29, 2017 | Dave Fornell
August 29, 2017 — The U.S.
MDISS Launches 'WHISTL' Network of Medical Device Security Testing Labs
News | Cybersecurity| August 23, 2017
The Medical Device Innovation, Safety and Security Consortium (MDISS) recently launched the first of more than a dozen...
HHS Unveils Improved Web Tool to Highlight Recent Health Information Breaches
News | Cybersecurity| August 21, 2017
The U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) recently launched a revised web...
Overlay Init