Protecting Access to Medicare Act (PAMA) established a new program to increase the rate of appropriate advanced diagnostic imaging services provided to Medicare beneficiaries. Examples of services include:
Guidelines require that all providers placing orders for these services for Medicare patients are required to consult a qualified Clinical Decision Support Mechanism (CDSM) to ensure the test being ordered meets appropriate use criteria (AUC). Woman’s has chosen the Care Select CDSM due to its integration with Meditech.
The Open Access portal uses content from the American College of Radiology (ACR), Society of Pediatric Radiology (SPR), American College of Cardiology (ACC), National Comprehensive Cancer Network (NCCN), and Society of Nuclear Medicine and Molecular Imaging (SNMMI). All qPLE (qualified Provider Led Entity) content sources are used as a condensed list of services to provide the most robust AUC content possible. The Open Access portal presents the most recent version of the CareSelect Imaging content.
This unique identifier will be necessary for planned future functionality allowing for proxy workflows (i.e. clinical staff members consulting AUC under the direction of an ordering provider) and aggregated reporting for a given provider’s consultations.
Acknowledgement reasons allow you, as the ordering provider, to specify more details as to why the selected AUC is the best option for the patient even if it displays as inappropriate. We understand that certain scenarios are more complex than others and provide this functionality to allow for the documentation of those instances. This information can be seen on the Consultation Confirmation display, and your dashboard.
You will be able to view all your CDS consultations in an aggregate view on the Open Access dashboard.
You will be able to use “I forgot my password” to re-set your password. If you do not log into the Open Access portal for an extended period (90 days), your account will be deactivated. When this happens, you will be prompted to reactivate your account at the time of login by providing the email address for the account, and following a link provided in a received email.
Your clinical staff can act as ordering proxies under your direction. Future functionality of the Open Access portal will allow proxy users to associate CDS consultations with an ordering provider’s NPI.
Maintaining separate Open Access accounts will allow for CDS consultations to be appropriately aggregated and provide the ability to distinguish CDS consultations by ordering provider.