Answer Happy

The purpose of evidence-based medicine was to eliminate research bias while also improving the overall quality of treatment for the patient. One should understand how the outcomes from this effort require a vigorous amount of research studies combined with a system of standards setup that will improve the quality of evidence (Zuckler, 2019). While it may be impossible to completely eliminate bias, the utilization of the higher levels of research studies will assist in this cause and will be less likely to be associated with partiality. For diagnostic imaging, one form of evidence-based medicine that went into effect as of January 1, 2022, was the Appropriate Use Criteria (AUC). This program is advocated for providers to use when determining testing for their patients that could require advanced imaging, i.e., computed tomography (CT) and magnetic resonance imaging (MRI). The program was headed by mostly the payers with the majority backed by The Centers for Medicare and Medicaid Services (CMS). A physician will utilize an electronic tool backed by evidence-based medicine. They will enter basic information about the patient including age, weight, comorbidities, and what the clinical indication is for the testing. They will then select what test they would like to have completed for the diagnosis. The electronic tool will assist by rating the test for appropriateness. The higher the number, the more appropriate. In general, the program requires that all Medicare advanced imaging requests utilize this tool that was created by evidence-based medicine (Baugh, 2018). The tool was not well received by providers but as this was a requirement, what the provider needed to understand was the intention and amount of research that went into the development. Before the Go Live, myself and imaging leadership offered a free tool supplied by the electronic medical resource, Cerner including the training to use. We wanted to be proactive for the use of this tool as not being in compliance could result in non-covered services and delays in patient care. This is not an absolute denial but a consultative component that took 15 years to create and implement. This program helps to reduce unnecessary medical imaging costs as well as improve the quality of care. To track providers compliance, the national provider identification (NPI) is a required field with each determination. In years to come, providers who rate as a high outlier not adhering to the recommendations will be subject to obtain prior authorization for all imaging.
1. According to the statement above what can one agree snd or disagree with? please answer in 200 words ASAP thanks