CMS NPRM Expands Category of Radiology Orders, Thresholds

As a follow-up to my post yesterday, the March 20, 2015, Centers for Medicare and Medicaid (CMS) notice of proposed rulemaking (NPRM) for Stage 3 of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs has expanded the category of radiology orders to include diagnostic imaging other than radiology.  Also, the thresholds for medication, laboratory, and diagnostic imaging orders have been increased for Stage 3.  Note the following excerpts from the CMS NPRM:

We propose to continue our policy from the Stage 2 final rule that the orders to be included in this objective are medication, laboratory, and radiology orders, as such orders are commonly included in CPOE implementation and offer opportunity to maximize efficiencies for providers. However, for Stage 3, we are proposing to expand the objective to include diagnostic imaging, which is a broader category including other imaging tests such as ultrasound, magnetic resonance, and computed tomography in addition to traditional radiology. This change addresses the needs of specialists and allows for a wider variety of clinical orders relevant to particular specialists to be included for purposes of measurement.

Based on our review of attestation data from Stages 1 and 2 demonstrating provider performance on the CPOE measures, we propose to increase the threshold for medication orders to 80 percent and to increase the threshold for diagnostic imaging orders and laboratory orders to 60 percent.

About Donald Balasa

Donald A. Balasa, JD, MBA, chief executive officer and legal counsel for the American Association of Medical Assistants, keeps his eye on what is happening in the profession.
This entry was posted in CMS Stage 2 Rule, Computerized Provider Order Entry (CPOE), EHR Incentive Programs and tagged , , , , , , , . Bookmark the permalink.

2 Responses to CMS NPRM Expands Category of Radiology Orders, Thresholds

  1. Jessica Lison says:

    I saved this article from last year and have been unable to find any further info indicating the thresholds will be increased to 80/60/60 for CPOE. Can you point me in the right direction?

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