Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging: Expect major Impact on Clinical Workflow, IT and Revenue Cycle
It is important to understand the requirements for Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging as well as the impact to expect on the various aspects of operations upon implementation.
Advanced diagnostic imaging is considered MRI, CT, PET, and Nuclear Medicine (X-rays, Ultrasound, and Fluoroscopy services are not included under the definition of advanced imaging). AUC links a specific clinical condition on presentation, services, and an assessment of the appropriateness of services. AUC’s evidence-based criteria for imaging is meant to assist clinicians in selecting the imaging study that is most likely to improve health care outcomes.