Update: Appropriate Use Criteria for Advanced Diagnostic Imaging Services

August 3, 2022

On July 7, 2022 CMS announced they will be delaying the penalty phase of Appropriate Use Criteria “until further notice.”  The penalty phase was set to go into effect on January 1, 2023, unless the Public Health Emergency (PHE) was extended.  HHS Secretary Becerra announced this month that the Federal PHE was being extended for another 90 days, pushing it into October.  Per the CMS.gov notice, the payment penalty phase will not begin January 1, 2023, even if the PHE for COVID-19 ends in 2022, and they are unable to forecast when the payment penalty phase will begin.  Please click here for more information.  

To read our original white paper on this topic, click here.