Coalition Comments on CMS’ Proposed Rule Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models
Consistent with and adhering to industry standards of data format to promote consistency, portability and interoperability across different health information technology (HIT) platforms
Standardized definition of data elements within the order such that cross-reference tables between ordering provider and rendering provider are minimized or eliminated
Contains all information necessary for the rendering provider to submit a complete claim and be eligible for payment processing
Qualified Decision Support Mechanism +
Electronic and computerized; with telephonic consultation or internet consultation with document-based feedback limited to gap-filling situations
Interoperable and reliable across different health information technology (HIT) platforms with respect to:
Incorporated seamlessly into the imaging order process of the ordering provider
Adherence to appropriate use criteria (AUC) with non-adherence conservatively applied.
Transmission of required information to all required entities: (1) QDSM, (2) adherence/non-adherence, and (3) National Provider Identifier (NPI) of ordering provider
Appropriate Use Criteria +
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