What is a CDSM? Why might my practice need one?

A Clinical Decision Support Mechanism (CDSM) software is designed to ensure compliance with CMS’s Appropriate Use Criteria Program (AUC), as part of the Protecting Access to Medicare Act of 2014. The CDSM is an interactive, electronic tool that communicates AUC information, assists in making the most appropriate treatment decision, and provides a certificate of compliance.

Ordering providers must consult with a CMS-qualified CDSM when ordering advanced imaging services for Medicare Part B patients and furnishing providers must report the results of the AUC consultation on the Medicare claim for reimbursement. Practitioners conducting advanced imaging services in specialties such as radiology, cardiology, oncology, sleep medicine, orthopedics and others will need a CMS-qualified CDSM software in order to be in compliance with the AUC Program Mandate by January 1, 2022.

Infinx’s CDSM is a CMS-qualified software developed in tandem with qualified provider lead entities (qPLEs) that can be integrated with your existing EMR/EHR/RIS.