Appropriate Use Criteria: What you Need to Know

Melody W. Mulaik, MSHS, FAHRA, CRA, RCC, RCC-IR, CPC, CPC-H is the President of Revenue Cycle Coding Strategies LLC and our presenter. 2020 is the official CMS testing year for AUC/CDS implementation. As oncology organizations continue to bridge the gap with imaging facilities, it is important that everyone be on the same page throughout the CMS implementation and testing period. Additionally, any physician practices that perform and bill for diagnostic services must ensure compliance through correct billing practices. Working through the charge capture processes and identifying where gaps currently exist will ensure that plans can be quickly implemented to address these concerns and ensure that the Jan. 1, 2021 implementation date is successful and that no one’s revenue is disrupted. In addition to the speaker sharing implementation stories, participants will be encouraged to share their implementation experiences for the group’s benefit.

1. Identify specific areas of concern for your organization regarding AUC/CDS implementation.
2. Facilitate discussions with all stakeholders to ensure all perspectives are heard and addressed.
3. Design actions that can be taken to facilitate a successful implementation to ensure revenue is not negatively impacted.