Clinical Decision Support Mechanisms
Clinical Decision Support Mechanisms
NOTICE: The payment penalty phase will not begin January 1, 2023 even if the PHE for COVID-19 ends in 2022. Until further notice, the educational and operations testing period will continue. CMS is unable to forecast when the payment penalty phase will begin.
NOTICE: All CDSMs and PLEs qualified as of July 2022 will remain qualified through this cycle. Applications for initial qualification or re-qualification will not be accepted for the 2023 application cycle.
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 |
|---|---|
| MedCurrent OrderWise® | G1002 |
| Medicalis Clinical Decision Support Mechanism | G1003 |
| Change Healthcare CareSelect™* | G1004 |
| Cranberry Peak ezCDS | G1008 |
| Stanson Health's Stanson CDS | G1010 |
| AgileMD's Clinical Decision Support Mechanism | G1012 |
| EvidenceCare’s ImagingCare | G1013 |
| InveniQA's Semantic Answers in Medicine™ | G1014 |
| Reliant Medical Group CDSM | G1015 |
| Speed of Care CDSM | G1016 |
| INFINX CDSM | G1018 |
| LogicNets AUC Solution | G1019 |
| Curbside Clinical Augmented Workflow | G1020 |
| E*HealthLine Clinical Decision Support Mechanism | G1021 |
| Intermountain Clinical Decision Support Mechanism | G1022 |
| Persivia Clinical Decision Support | G1023 |
| Radrite* | G1024 |
| OmniScient ® | G1011 |
| Optum CDSM | G1011 |
Information Collections Under 42 CFR 414.94
OMB Control Number: 0938-1315
Expiration Date: 03/31/2020
Page Last Modified:
09/11/2023 06:35 AM