Clinical Decision Support Mechanisms

NOTICE: CY 2020 is an EDUCATIONAL AND OPERATIONS TESTING PERIOD for the AUC Program. There are no payment consequences associated with the AUC program during CY 2020. We encourage stakeholders to use this year to learn, test and prepare for the AUC program.

Background

A Clinical Decision Support Mechanism (CDSM) is an interactive, electronic tool for use by clinicians that communicates appropriate use criteria (AUC) information to the user and assists them in making the most appropriate treatment decision for a patient’s specific clinical condition. They may be modules within or available through certified electronic health record (EHR) technology.

Applicants Seeking CDSM Qualification

  • Applications must document current adherence to the qualified CDSM requirements under 42 CFR 414.94(g)(1) OR how and when each requirement is reasonably expected to be met.
  • CMS has not provided an application template.
  • Send applications to ImagingAUC@cms.hhs.gov by January 1.

We will post qualified CDSMs to our website. All qualified CDSMs must re-apply every five years and applications must be received by January 1 during the fifth year of their approval.

Qualified Clinical Decision Support Mechanisms and Related Codes

(Additional information regarding codes is available on our Outreach and Education page in MLN Matters Article MM11268)

Mechanism Name Code
eviCore healthcare's Clinical Decision Support Mechanism G1001
MedCurrent OrderWise™ G1002
Medicalis Clinical Decision Support Mechanism G1003
National Decision Support Company CareSelect™* G1004
AIM Specialty Health ProviderPortal®* G1007
Cranberry Peak ezCDS G1008
Sage Health Management Solutions Inc. RadWise® G1009
Stanson Health's Stanson CDS G1010
AgileMD's Clinical Decision Support Mechanism G1012
EvidenceCare's Imaging Advisor G1013
InveniQA's Semantic Answers in Medicine™ G1014
Reliant Medical Group CDSM G1015
Speed of Care CDSM G1016
HealthHelp's Clinical Decision Support Mechanism G1017
INFINX CDSM G1018
LogicNets AUC Solution* G1019
*Free Tool Available
Information Collections Under 42 CFR 414.94
OMB Control Number: 0938-1315
Expiration Date: 03/31/2020

 

Page Last Modified:
05/13/2020 02:25 PM