Appropriate Use Criteria
Commencing Jan. 1, 2020 the Protecting Access to Medicare Act (PAMA) requires referring providers to consult Appropriate Use Criteria (AUC) prior to ordering Advanced Diagnostic Imaging Services (ADIS), CT, MR, Nuclear Medicine and PET, for Medicare patients. The Appropriate Use Criteria will apply to services furnished in a hospital outpatient department, physician’s office, or an …