The Technology Necessary to Prepare for Protecting Access to Medicare Act (PAMA)
An integrated solution, accessible at the time of order, for consulting Appropriate Use Criteria (AUC) for advanced imaging to meet requirements under the Protecting Access to Medicare Act (PAMA).
Get Prepared for PAMA by Integrating Imaging Criteria to a Powerful CDS Platform
EvidenceCare connects seamlessly within the provider’s workflow to provide immediate consultation based on the care decisions made on behalf of the patient. As a CMS-qualified Clinical Decision Support Mechanism (qCDSM), health care delivery organizations have assurance they are fully compliant with the PAMA federal mandate.
The Imaging Criteria Solution offers:
Evidence-Based Clinical Support Available Instantly
Calculators to determine if criteria is met
Primary Recommendations and appropriate ratings
Imaging Criteria in the EvidenceCare Platform
Clinical Need for Imaging
Throughout the course of care, a provider identifies the need for advanced imaging to determine the appropriate diagnosis and treatment for a patient.
Launch the AUC Pathway
At the point of ordering imaging, the provider launches an EvidenceCare AUC protocol and answers a few quick questions about the patient’s presentation, history, and condition.
Consultation for Appropriate Use
The Imaging Criteria Solution consults the correct AUC guidelines to determine the appropriateness of the imaging study selected for the patient. Approval or denial is provided, and the authorization code, when applicable, is notated in the record.
Imaging Criteria offers access to advanced imaging guidelines for all care settings, including hospital emergency and outpatient departments, physician offices, ambulatory surgical centers, and independent diagnostic testing facilities.