Leverage your EHR to reduce unnecessary diagnostic imaging
Innovations in diagnostic testing have revolutionized clinicians’ ability to diagnose illness and monitor response to treatment. However, research shows that an estimated 20% to 50% of high-tech radiologic imaging ordered by providers may not be of actual value to the patient.*
Optum can help you establish an enterprise-wide standard of care for the ordering of advanced imaging. Our EHR-integrated CareSelect® Imaging solution delivers advanced imaging guidelines into your existing workflows at the point of order. Robust analytics benchmark ordering provider performance against the criteria, helping your practice curb care variation and reduce waste.
What’s included in CareSelect Imaging
EHR-integrated point-of-order guidance
CareSelect Imaging delivers up-to-date, evidence-based clinical standards to your ordering providers by integrating into native EHR-ordering workflows. CareSelect Imaging can be localized to address the needs of your practice environment.
Targeted analytics for imaging utilization management
Gain insight into provider ordering behaviors to determine the best way to target and change ordering practices within your organization. Tailored reporting for imaging CDS provides focused insights into the behaviors of certain providers, specialties or entire departments to help guide quality improvement and compliance programs.
Society-authored appropriate use criteria from qPLEs
We work with CMS qPLEs, including the American College of Radiology, the American College of Cardiology Foundation, the National Comprehensive Cancer Network and the Society of Nuclear Medicine and Molecular Imaging to help ensure that guidance is available for advanced imaging orders.
CareSelect Imaging allows us to practice in a way that uniformly confirms that we’re ordering the most appropriate diagnostic study and enhancing patient safety… it helps us become better stewards of health care costs…
Chief of Emergency Medicine, Einstein Medical Center
Robert A. Czincila, D.O
Key benefits
Point-of-order guidance drives enterprise-wide improvement
Establish a standard of care
Identify unnecessary diagnostic imaging utilizing a comprehensive set of evidence-based standards.
Align with value-based care principles
Improve the quality and safety of patient care, reduce costs, comply with regulations and leverage data analytics.
Expedite prior authorization
Streamline the prior authorization process for advanced imaging tests by engaging payers with order appropriateness data.
Schedule a demo
Let us show you how to get more out of your imaging solutions.
CareSelect Imaging FAQ
CareSelect Imaging uses content from the American College of Radiology (ACR), American College of Cardiology (ACC), National Comprehensive Cancer Network (NCCN) and Society of Nuclear Medicine and Molecular Imaging (SNMMI). All qualified provider-led entity (qPLE) content sources are used as a condensed list of services to provide the most robust AUC content possible.
Providers receive an appropriateness score of 1 to 9 based on their order. If an order is determined to be appropriate, no feedback is given, and the order processes with no additional provider interaction. For applicable orders, providers are presented with alternative exam choices.
Consultation data is attached to the order and sent downstream for compliance and billing. This data is also used for ongoing analysis of provider ordering performance.
The Protecting Access to Medicare Act (PAMA) requires providers to consult AUC for all advanced imaging ordered under Medicare Part B. AUC must be authored by qualified provider-led entities (qPLEs) and consulted through a qualified clinical decision support mechanism (qCDSM). CareSelect Imaging is qualified by the Centers for Medicare & Medicaid Services (CMS) as a qCDSM and delivers AUC from 4 qPLEs.
Related healthcare insights
On-demand webinar
Discover how to leverage automation for centralized, exception-based utilization management.
Article
Learn more about why evidence-based criteria and clinician insight are needed for informed and trustworthy decisions while leveraging AI.
On-demand webinar
Learn how to streamline efficiency and consistency of the utilization review process.
Complementary solutions
CareSelect® Imaging Access
CareSelect® Imaging Open Access
CareSelect® Risk Assessor
*Litkowski PE, Smetana GW, Zeidel ML, Blanchard MS. Curbing the urge to image. Am. J. Med. 2016; 129(10)1131–1135.