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Stanford Health Care Imaging is committed to providing outstanding care, utilizing state-of-the-art technology, and offering the subspecialty expertise of Stanford's world-renowned Department of Radiology. Our team of medical professionals conduct more than a quarter of a million studies each year, maintaining the highest standards of clinical excellence provided in a compassionate, caring environment.
Stanford Health Care provides comprehensive services to refer and track patients, as well as the latest information and news for physicians and office staff. For help with all referral needs and questions, visit Referring Physicians.
What you need to know about patients with Medicare Part B and Advanced Diagnostic Imaging, effective January 1, 2022.
The Protecting Access to Medicare Act (PAMA) of 2014, established the Appropriate Use Criteria (AUC) program to increase use of AUC for advanced diagnostic imaging services (CT, MRI, PET, Nuclear Medicine) for Medicare Part B recipients.
Effective January 1st, 2022 providers must consult Appropriate Use Criteria (AUC) through a qualified Clinical Decision Support Mechanism (qCDSM) when ordering advanced diagnostic imaging services.
The purpose is to enable providers to order the most appropriate tests for patients while minimizing unnecessary radiation, intravenous contrast exposure, and potential risks of invasive procedures.
PRISM - Send and manage radiology orders online. Portal to include Medicare (CMS) mandate support features, such as:
*Clinical Decision Support Mechanism (qCDSM) when ordering advanced diagnostic imaging services.
*Advance Beneficiary Notice (ABN) - notification that services are likely not covered by Medicare.