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

Partners HealthCare Chooses Visage 7 for Enterprise Imaging
News | Enterprise Imaging | January 18, 2019
Visage Imaging Inc. announced the signing of Partners HealthCare, the largest health system in Massachusetts, for...
Seamless Interoperability – Fact or Fiction? This webinar will show how Nemours Children’s Health System adoption of ScImage’s PICOM365 Enterprise PACS  improved workflow. The product will be highlighted at HIMSS 2019.
Sponsored Content | Webinar | PACS | January 17, 2019
This ScImage-sponsored ITN/DAIC webinar will be held at 2 p.m. Eastern time, Wednesday, Feb. 6, 2019.
NewYork-Presbyterian Hospital Partners With Philips for Health IT and Clinical Informatics
News | Enterprise Imaging | January 16, 2019
Philips announced that NewYork-Presbyterian Hospital has chosen to implement the company’s IntelliSpace Enterprise...
AI Approach Outperformed Human Experts in Identifying Cervical Precancer
News | Digital Pathology | January 10, 2019
January 10, 2019 — A research team led by investigators from the National Institutes of Health and Global Good has de
Artificial intelligence, also called deep learning and machine learning, was the hottest topic at the 2018 Radiological Society of North America (RSNA)) meeting.

Artificial intelligence was the hottest topic at the 2018 Radiological Society of North America (RSNA)) meeting, which included a large area with its own presentation therater set asside for AI vendors.

Feature | Artificial Intelligence | January 10, 2019 | Dave Fornell, Editor
Hands down, the hottest topic in radiology the past two years has been the implementation of...
Pacific Northwest VA Network Selects Carestream as Enterprise PACS Supplier
News | PACS | January 08, 2019
Carestream has been awarded a multimillion-dollar healthcare information technology (IT) contract for Veterans Affairs...
Sponsored Content | Videos | Flat Panel Displays | December 25, 2018
EIZO, which means image in Japanese, is a visual technology company that develops and manufactures high-end display s
Videos | Artificial Intelligence | December 21, 2018
Enhao Gong, Ph.D., founder of Subtle Medical, an artificial intelligence (AI) company that develops products to help
IMS Announces Integration of Cloud Image Viewing Platform With Google Cloud
News | Archive Cloud Storage | December 20, 2018
International Medical Solutions (IMS) recently announced it will provide Google Cloud account users with the ability to...