(July 17, 2020) – Last week, the American Hospital Association, along with the American Medical Association, urged the Centers for Medicare & Medicaid Services to delay the Jan. 1, 2021, implementation of the appropriate use criteria for advanced diagnostic imaging services. The policy is mandated under the Protecting Access to Medicare Act of 2014. In a letter to CMS Administrator Seema Verma, AHA and AMA wrote the COVID-19 public health emergency reduced imaging services, added financial strains and prohibited providers from sufficiently engaging in preparatory steps to ensure a successful implementation of the AUC program.
Calendar year 2020 is an education and operations testing period for the AUC program. There are no payment consequences associated with the AUC program during CY 2020, but stakeholders are encouraged to use this year to learn, test, and prepare for the AUC program.