The Centers for Medicare and Medicaid Services announced the Appropriate Use Criteria (AUC) Program testing period has been extended through CY 2021. Clinicians will not be required to use AUC until 2022. The program requires physicians to consult AUC when ordering advanced imaging services such as MRIs, PET and CT Scans. Beginning in 2022, physicians will be required to consult clinical decision criteria support tools prior to ordering and to append the criteria to the claims for those services.
Appropriate Use Criteria start date delayed until CY 2022
Billing, Coding & Payments | August 17, 2020