Radiology Reimbursements & Clinical Decision Support: What You Need to Know About CMS’ Latest Updates
Thursday, November 10, 2016 | 11:00 a.m. EST
On January 1, 2018, Medicare reimbursement for advanced outpatient imaging procedures (MR, CT, NM, PET) will be at risk if providers do not meet the requirements of the Appropriate Use Criteria (AUC) Program initially set forth in the Protecting Access to Medicare Act (PAMA). Earlier this year, CMS released the first list of 11 qualified provider-led entities (qPLEs) to enable a marketplace of approved AUCs. With CMS’ latest MPFS CY 2017 rule released on November 2, 2016, significant updates related to priority clinical areas and CDS mechanism requirements have beenfinalized. Understanding PAMA is critical to ensuring Medicare claims are fully paid and ensuring satisfaction with the CDS process put in place.
Beyond meeting the requirements to secure Medicare reimbursement, an informed CDS strategy and solution will drive improvements in quality of patient care, clinical workflow and economics, especially to healthcare providers progressing towards value-based care models. Join our expert panel as they break-down the latest regulatory updates and its influence on the marketplace to ensure your organization is well-prepared to meet the mandate.
Here’s what you’ll learn:
- Review of Protecting Access to Medicare Act (2014)
- PAMA implementation timeline and impact on your organization
- Qualified Provider Led Entities (qPLEs) and the AUC marketplace
- Priority clinical areas
Who should attend?
Health Systems, Integrated Delivery Networks, Hospitals, Imaging Centers and ACOs:
Chief Medical Officer
Chief Medical Information Officer
Chief of Radiology/Imaging
Decision Support Director
Chief Quality Officers
Directors of Quality and Safety
Christopher Austin, MD
Global Director of Clinical Informatics and Imaging Analysis, GE Healthcare
Dr Christopher Austin is GE Healthcare's Global Director of Clinical Informatics and Imaging Analytics, guiding GE's digital strategy and serving as clinical lead for strategic academic partnerships aimed at developing deep learning technologies related to imaging. A dual national of the UK and the US, Dr Austin trained in radiology at University College London Hospital before moving into industry 10 years ago, where he has worked with leading provider organizations and governments across the US, UK, Europe and the Middle East to drive clinical quality improvement through digital solutions. He is a power evangelist of solutions that enhance the value of imaging to patient care pathways, and is a global advocate of clinical decision support as a key enabler for the "value-based" imaging agenda.
Christopher holds a medical degree from the University of Glasgow where he also trained in Internal Medicine. He also has a Master of Science in Epidemiology from the London School of Hygiene and Tropical Medicine. He relocated from London to Seattle three years ago with his very Scottish wife and 3 children.
Stephen Herman, MD
Chief Medical Officer & Founder, MedCurrent
Dr. Herman has served for over thirty years as a thoracic radiologist. Trained at the University of Toronto and Harvard University, Dr. Herman is currently an Associate Professor at the University of Toronto Faculty of Medicine where he also served as head of Thoracic Imaging. He has over fifty articles in medical journals and has lectured at national and international radiology-related conferences on numerous occasions. Dr. Herman is also Founder and Chief Medical Officer of MedCurrent, a leading radiology decision support company.