MEDITECH and National Decision Support Company deliver solution for compliance with important federal mandate
On January 1, 2019, an important federal mandate goes into effect that requires healthcare providers to consult Appropriate Use Criteria (AUC) when ordering Medicare Part B outpatient advanced imaging services. After January 1, 2019 all claims for these services require evidence of the consultation to be payable.
- Meditech selected CareSelect Imaging™, developed by to National Decision Support Company to offer a solution to enable compliance with this important requirement.
- NDSC brings years of experience in EMR data and solution management to create a new approach to decision support.
- CareSelect Imaging has been integrated with all Meditech platforms in use in the market today and is available as part of a MEDITECH delivered software update.
Through NDSC’s CareSelect Imaging solution, MEDITECH clients can access a comprehensive set of evidence based guidelines that cover a comprehensive range of imaging conditions, and the required functionality to generate payable claims . Our team provides the expertise to leverage and extend the capabilities of the EMR to provide maximum impact at the point of care.
Integrated Imaging CDS powered by National Decision Support Company
National Decision Support Company brings years of experience in EMR data and solution management to create a new approach to decision support. Through our CareSelect Imaging™ solution, we deliver a curated, PAMA compliant set of guidelines that cover a comprehensive range of imaging conditions. Our team provides the expertise to leverage and extend the capabilities of the EMR to provide maximum impact at the point of care.
MEDITECH Supported – Market Validated
CareSelect Imaging is the MEDITECH Supported Solution for imaging decision support.
Trusted by leading EMR vendors and over 500+ Health Systems including 2500+ discrete acute care facilities covering 85% of the US population. The CareSelect Criteria Management and Delivery Platform processes over 2.75 million decision support interactions every month.
CareSelect Imaging Overview
A Comprehensive PAMA Solution
CareSelect Imaging delivers a comprehensive set of structured indications and Appropriate Use Criteria (AUC) from five qualified Provider Led Entities, including all AUC from medical specialty societies. These guidelines are rationalized into a single delivery platform enabling full compliance with all aspects of PAMA.
Our comprehensive coverage ensures that providers find the correct clinical question for every advanced imaging exam. This allows providers to access and view all required AUC and ensure that a payable claim is always generated.
CareSelect Imaging includes NDSC’s exclusive ACR Select™, the most comprehensive set of published AUC covering all advanced imaging, including complete coverage of the Priority Clinical Areas.
NDSC’s CDSM has provided over 20 million AUC consultations at over 1000 acute care facilities with over 100,000 physicians accessing our CDSM.
Streamlined Guideline Delivery
The CareSelect CDSM integrates directly with MEDITECH to deliver AUC into the EMR – allowing you to stay up to date with the latest advisories and localize criteria as needed.
For each imaging order placed, MEDITECH makes a web service request to an external NDSC system. This consultation evaluates compliance with the applicable AUC and returns the information to MEDITECH to be displayed to the ordering user. The NDSC system will then embed all required data elements for a payable claim within MEDITECH.
Faster Time to Value
MEDITECH integration allows for a quick implementation timeline.
Keep your Criteria Current
Easily upgrade to the latest criteria sets with minimal on site work
Direct MEDITECH Integration
MEDITECH integrates seamlessly with CareSelect Imaging CDSM
Comprehensive Criteria Sets
CareSelect Imaging criteria sets represent the highest quality, most comprehensive, evidence based decision support criteria. NDSC’s relationships with leading medical specialty societies ensure that CareSelect guidelines provide the most accurate and comprehensive decision support solution on the market.
When combined with the years of experience working with major EMR vendors to refine the point of order integration CareSelect criteria sets improve population health, reduce variations and gaps in care and facilitate enterprise wide cost reductions.
ACR Appropriateness Criteria (ACRselect)
ACRselect is a comprehensive national standards clinical decision support database comprising over 3,000 clinical scenarios and 15,000 criteria that provides evidence-based decision support for the appropriate utilization of all medical imaging procedures. More than 300 volunteer physicians, representing more than 20 radiology and non-radiology specialty organizations, participate on the ACR AC expert panels, continuously updating these nationally transparent guidelines, and providing real-time access to the latest medical imaging decision support. National Decision Support Company is the exclusive licensing agent for ACR AC. Learn More –>
American College of Cardiology
Appropriate Use Criteria for cardiovascular-based imaging published by the American College of Cardiology along with key specialty and subspecialty societies delivered within CareSelect Imaging. Learn More –>
National Comprehensive Cancer Network
The NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) are comprised of recommendations for the prevention, diagnosis, and management of malignancies across the continuum of care. The NCCN Guidelines currently apply to more than 97% of patients living with cancer in the United States. The NCCN Guidelines incorporate real-time updates in keeping with the rapid advancements in the field of cancer research and management. Specific NCCN Guidelines have also been developed for cancer screening and prevention, as well as for supportive care issues important to the management of patients with cancer. The NCCN Guidelines are intended to assist all individuals who impact the decision making in cancer care including physicians, nurses, pharmacists, payers, patients and their families, and many others. The development of the NCCN Guidelines is an ongoing and iterative process, which is based on a critical review of the best available evidence and derivation of recommendations by a multidisciplinary panel of experts in the field of cancer. Learn More –>
Required Implementation Timeline
With the January 1, 2019 date to begin reporting on AUC consultations approaching quickly, you will need a proactive approach to implement and enable a CDS program. MEDITECH will deliver the imaging AUC code as part of the MU3 update.
Even if your organization is not attesting for MU3, your code delivery, implementation, and activation must be scheduled with MEDITECH and NDSC before October 2017 to confirm our collective availability for the agreed upon implementation window. This will ensure that your organization will continue to receive payment on their Medicare Part B Advanced Diagnostic Imaging claims.