Payment clarity at the point of care
AIM Inform is the integrated solution that simplifies how providers manage the quality and the cost of care. Embedded into the EMRs that clinicians use every day, AIM Inform enables completion of health plan prior authorizations for outpatient advanced imaging and compliance with the CMS Appropriate Use Criteria Program from a single source. As a result, your patients receive quality care at the right time, and you achieve real-time payment clarity and clinical determination. Even more, in most cases, AIM Inform can reduce the prior authorization workflow from minutes to seconds.
How it works
Integrated expertise for an integrated solution
A dedicated, cross-functional team leads and supports AIM Inform. With a perfect hybrid of clinical, business, and technological expertise, they ensure a provider-tailored solution that simplifies providers’ delivery of evidence-based care.
Chris Buckle, MD, MBA, FRCPC
Associate Chief Medical Officer and National Medical Director, Radiology and Guideline Development
His Role with AIMChris Buckle, MD, is our Associate Chief Medical Officer and also serves as the clinical lead for radiology at AIM. In his role, Dr. Buckle is responsible for defining the clinical strategy of our flagship solution.
Read More about Dr. BuckleAt a glance: the CMS Appropriate Use Criteria Program
What is the program?
Part of the Protecting Access to Medicare Act of 2014 (PAMA), the CMS Appropriate Use Criteria Program aims to improve the quality of care and reduce inappropriate imaging for Medicare fee-for-service beneficiaries. It requires that providers consult appropriate use criteria from a CMS-qualified clinical decision support mechanism, or tool, when ordering outpatient advanced imaging services for these patients.
How is AIM involved in the program?
We are deeply involved in the CMS program: we have developed appropriate use criteria (AUC), and we are a qualified clinical decision support mechanism (CDSM).
To develop the criteria, we collaborated with the Center for Diagnostic Imaging Quality Institute, a nonprofit affiliate of Center of Diagnostic Imaging and a CMS-designated provider led entity. Our collaboration with them allows us to license and use the AUC.
To become a qualified CDSM, we applied to CMS as required. On July 13, 2017, CMS recognized our commitment to clinical excellence and evidence-based care by designating us as a qualified CDSM. The designation enables us to deliver the AUC to providers through AIM Inform.
How does AIM Inform comply with the program requirements?
AIM Inform meets both requirements: it is a CMS-qualified clinical decision support mechanism, and it includes the appropriate use criteria and supporting documentation providers need when ordering advanced imaging for Medicare fee-for-service beneficiaries.