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CareSelect Imaging – Open Access

CareSelect Imaging - Open Access is a freely available web application accessible by providers and their proxies to consult Clinical Decision Support and generate the required AUC Information for a payable claim for all advanced imaging exams as required by CMS PAMA Mandate starting 2022.

Beginning January 1, 2022, Protecting Access to Medicare Act (PAMA) requires practitioners ordering advanced imaging exams for Medicare Part B beneficiaries consult Appropriate Use Criteria (AUC) via a qualified Clinical Decision Support mechanism (qCDSM).

[source: CareSelect Imaging - Open Access]

healthcare workers looking at a screen

About CareSelect - Imaging

Who:

  • Ordering professionals
  • Ordering proxies: designated clinical staff operating under the direction of the Ordering Professional to perform the consultation
    [source: CareSelect Imaging - Open Access]

 

What exams:

  • CT
  • MRI
  • NucMed
  • PET

 

What AUC information must be included with Advanced Imaging orders:

  1. AUC Modifier (MA-MF)
  2. G Code indicating which qualified Clinical Decision Support Mechanism (qCDSM) consulted

 

Why:

  • Provides evidence-based decision making at time of advance imaging exam order - enabling the most efficient and effective use of advanced imaging studies to improve quality of patient care.
  • Participation is a high-weighted Improvement Activity for providers participating in CMS Merit-based Incentive Payment System (MIPS) program.
  • In the future, CMS will identify ordering professionals who routinely do not provide required AUC information (aka: Outliers) and impose additional prior authorization requirements for further advanced imaging exams.
  • [source: ACR - Clinical Decision Support]

 

How can I obtain required AUC Information for my Advance Imaging Orders?

  • Consult via EMR with integrated qCDSM -> ask your EMR vendor if qCDSM is integrated.
  • OR…
  • Consult via Stand-alone qCDSM ->

CareSelect Imaging Open Access is available to you free of cost.

Register for CareSelect Imaging Open Access:

  1. Go to http://openaccess.careselect.org/registration to begin the registration process.
  2. On the registration page, create an account and provide basic information including name, e-mail, NPI, and a few other informational details.
  3. After submitting the registration, confirm your account by following directions as outlined in the confirmation email.
  4. The last step of the registration process before gaining access to the AUC content will be accepting the End User Licensing Agreement.

Go to:

  • https://openaccess.careselect.org after registration to obtain required AUC Information.
  • Include AUC information along with Advanced Imaging Order when sending to Roper St Francis Healthcare.

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