ASCRS Joins American Medical Association and Other Physician Groups Expressing Concern Regarding Prior Authorization 
ASCRS joined with the AMA and other medical associations in a letter  to the Centers for Medicare and Medicaid Services (CMS) regarding the implementation of prior authorization and appropriate use criteria provisions within the Protecting Access to Medicare Act (PAMA).
The letter cautioned against using Radiology Benefit Management (RBM) companies as the criteria developers for appropriate use criteria and the enforcers of prior authorization for ordering professionals. The letter notes that several medical societies already have a process in place for the development and ongoing update of appropriate use criteria and asks that CMS manage imaging utilization through the use of physician specialty society developed appropriate use criteria.
There are concerns that RBM-developed appropriate use criteria will focus on reduction of tests from a resource perspective and not take into consideration the medical necessity of a test on a patient-by-patient basis. Finally, the letter emphasizes the signatory organizations opposition to prior authorization programs in general, and explains that these policies create an administrative burden for physicians and have not been shown to reduce costs over time.