PAMA AUC Report

athenaClinicals

Note: As announced in the CY 2024 Physician Fee Schedule (PFS) Final Rule, effective January 1, 2024, the Centers for Medicare & Medicaid Services (CMS) has paused efforts to implement the AUC program for reevaluation and rescinded the AUC regulations at 42 CFR 414.94. Providers and suppliers no longer need to include AUC consultation information on Medicare fee-for-service (FFS) claims.

 

In response to this change, athenahealth is deprecating functionality for displaying PAMA AUC scores on orders in athenaClinicals and ending the PAMA AUC integration between athenaClinicals and Stanson Health, a qualified Clinical Decision Support Mechanism (qCDSM). For more information, please see the Release Note.

 

Currently, you can run the PAMA AUC Report and PAMA AUC Report - Hospital to assess compliance with the PAMA AUC regulation. These reports remain active in the Report Library and will be deprecated at a later time.

 

The PAMA AUC report allows you to review all advanced imaging orders that need to meet PAMA AUC guidelines. You can use this report to identify information gaps across all advanced imaging orders for Medicare patients and address them prior to qCDSM review.

 

The PAMA AUC report shows the following information:

  • Advanced imaging order details for each order to which PAMA applies from every provider
  • Consultation details for each advanced imaging order from the qCDSM
  • Code, the HCPCS modifier, required for the claim

Run this report to see whether all advanced imaging orders contain the data required by PAMA AUC regulations.

 

Display the Report Library: On the Main Menu, click Reports. Under General, click Report Library. Click the Clinicals tab. In the Standard Reports section of the tab, click run next to PAMA AUC Report.

 

 

 

To access reports on the Clinicals tab of the Report Library, you must have the Report: Report Library: Clinicals permission. This permission is included in the following roles:

  • Practice Superuser role
  • Report Reader role

 

You can use the PAMA AUC report to identify gaps in information across all advanced imaging orders so you can address them prior to qCDSM review. This report shows information related to all advanced imaging orders related to Medicare patients.

  1. On the Main Menu, click Reports. Under General, click Report Library.
  2. Click the Clinicals tab.
  3. Click run next to PAMA AUC Report.
  4. Date Range — Enter the start and end dates for the report, or select a date range from the menu.
    Note: The longer the Date Range, the longer the report takes to run.
  5. Departments — Select All or Selected.
  6. Report Format — Select the format for your report results.
    • HTML table — Display the report results on your screen.
    • Text (tab-delimited) — Export the report results to a .csv file in tab-delimited format.
    • Text (comma-delimited) — Export the report results to a .csv file in comma-delimited format.
  7. Report Options — Select report options.
    • Suppress Column Headings — Select this option to remove column headings from the report results.
    • Suppress Report Name — Select this option to remove the report name from the report results.
    • Show Filter Criteria — Select this option to include your selected filter criteria in the report results.
    • Run Offline (will appear in your Report Inbox tomorrow morning) — Select this option for very long reports. Reports that are run offline appear in your Report Inbox the morning after the request.
  8. Click Run Report.

 

Run Report: PAMA AUC
Date Range

Enter the start and end dates for the report, or select a date range from the menu.
Departments

Select All or Selected.

Report Format

Select the format for your report results.

  • HTML table — Display the report results on your screen.
  • Text (tab-delimited) — Export the report results to a .csv file in tab-delimited format.
  • Text (comma-delimited) — Export the report results to a .csv file in comma-delimited format.
Report Options

Select other options for your report results.

  • Suppress Column Headings — Select this option to remove column headings from the report results.
  • Suppress Report Name — Select this option to remove the report name from the report results.
  • Show Filter Criteria — Select this option to include your selected filter criteria in the report results.
  • Run Offline (will appear in your Report Inbox tomorrow morning) — Select this option for very long reports. Reports that are run offline appear in your Report Inbox the morning after the request.
Column Headings
Department The department the advanced imaging order was created in.
Ordering Provider The name of the ordering provider who created the advanced imaging order.
NPI The NPI (National Provider Identifier) of the ordering provider.
Signing delegate The name of the user delegated to sign the advanced imaging order.
Patient ID The patient ID number associated with the advanced imaging order. This number links to the patient chart for that patient.
Document ID The unique document ID number for the advanced imaging order. This number links to the order document.
Order Signed The date and time the advanced imaging order was signed.
Order status The current status of the advanced imaging order document.
Diagnosis The diagnosis associated with the advanced imaging order.
Order A description of the advanced imaging order.
Appropriateness Score The appropriate use criteria (AUC) score received from the qualified Clinical Decision Support Mechanism (qCDSM) for the advanced imaging order (athenaClinicals) or manually entered by the ordering provider after a qCDSM consultation (athenaOne for Hospitals.
HCPCS modifier The HCPCS associated with the Appropriateness Score. You enter this modifier on the Charge Entry page.
Scored by The qualified Clinical Decision Support Mechanism (qCDSM) that scored the advanced imaging order. This is Stanson Health for athenaClinicals users.
Manually recorded? Yes or No. Indicates whether the Appropriateness Score was entered manually or automatically.
Consultation ID The unique consultation ID number associated with the qualified Clinical Decision Support Mechanism (qCDSM) consultation.

 

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