Tag: CDSM

By Nathan Baugh
Last month, the Centers for Medicare & Medicaid Services (CMS) released a Medicare Learning Network Article (MLN Matters) detailing certain claims processing aspects of the Appropriate Use Criteria (AUC) Mandate.

On February 20, 2020, CMS revised the MLN Matters article (SE20002) to include a list of additional Qualified Clinical Decision Support Mechanisms (qCDSMs) and their corresponding G-codes which will become effective on 4/1/20.

By Nathan Baugh
Earlier this month, The Centers for Medicare and Medicaid Services (CMS) released a Medicare Learning Network Article (MLN Matters) detailing certain claims processing aspects of the Appropriate Use Criteria (AUC) Mandate.

By Nathan Baugh
The biggest question our community had going into 2020 was around the Educational and Operational Testing Period which lasts for the full calendar year. Specifically, we wanted to know exactly what CMS meant by their statement that “claims will not be denied for incorrect AUC information.”

By Nathan Baugh
While CMS is largely holding steady on their AUC policy in this PFS final rule, there are still aspects of the AUC policy that need further clarification.

By Nathan Baugh
On July 12, CMS released the proposed rule for the 2019 Physician Fee Schedule. Here are a few quick takeaways from the primary AUC section.