Within a year, the Centers for Medicare & Medicaid Services (CMS) will apparatus a accouterment in the Protecting Admission to Medicare Act (PAMA) that requires physicians to argue adapted use belief (AUC) application CMS-approved computer-based analytic accommodation abutment mechanisms back acclimation avant-garde imaging procedures.
Under PAMA, providers will accept to abide affidavit that applicative AUC were consulted to accept their claims processed. After the CMS collects 2 years of data, “outlier” physicians will accountable to above-mentioned authorization, appropriately possibly attached patients’ and physicians’ admission to avant-garde imaging procedures.
Because coronary avenue ache appraisal is a antecedence analytic area, best cardiac imaging procedures will be accountable to the antecedent rollout of the mandate.
Once PAMA is implemented, the accountability of abbreviation inappropriate use will move abundantly from payers to providers. In alertness for this shift, physicians will charge to be accomplished about expectations beneath PAMA, which should accommodate accretion their compassionate of adapted use.
This will crave aing accord amid able societies apery apropos providers and imaging specialists and captivation of all stakeholders.
Explore further: Stewardship could advance adapted medical imaging use
More information: Annals of Internal Medicine, http://annals.org/aim/article/doi/10.7326/M16-2673
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