Radiology Ordering Professionals: Know the AUC Program Requirements

The Protecting Access to Medicare Act (PAMA) requires the Centers for Medicare & Medicaid Services (CMS) to establish a program that promotes Appropriate Use Criteria (AUC) for advanced diagnostic imaging. AUC are evidence-based criteria that assist professionals who order and furnish certain imaging services to make the most appropriate treatment decisions for a specific [...]

By |2020-02-25T11:55:11-05:00November 12th, 2019|Providers|

Developing Best Practices for Episodes of Care

The trend across payers is to develop episodes of care for certain disease states, particularly when identifying high cost/high gaps in care among a patient population. This is part of what population health is all about. Stedman’s Dictionary defines an episode of care as “all services provided to a patient with a medical problem [...]

By |2020-02-25T11:55:03-05:00November 12th, 2019|Quality|
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