Don’t Get Dinged: Prepare for AUC Mandates to Mitigate Costs

Released On
October 30, 2020

Expires On
October 30, 2021

Media Type

Completion Time
30 minutes

Cardiology, Family/GP Int. Med, Primary Care, Radiology

Cardiovascular Disease, Heart, Radiology

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Sponsored by Rush University Medical Center and The Academy for Continued Healthcare Learning (ACHL).



This activity is supported by an educational grant from Astellas.

Credit Available

  • Physicians — maximum of .50 AMA PRA Category 1 Credits

All other health care professionals completing this course will be issued a statement of participation.

Target Audience

This activity is intended for primary care providers who are involved in the care of patients with, or at risk for, coronary artery disease.

Program Overview

Are you ready for the January 2022 implementation of appropriate use criteria (AUC) mandates? Are you unknowingly ordering tests in rarely appropriate scenarios? Find out as multidisciplinary faculty at Rush University discuss clinical decision support tools in real-world cases, and provide you with strategies to ensure that the right test is ordered for the right patient. It's important that any ordering provider, whether a cardiologist, internist, or PA, knows how to determine when to use radionuclide myocardial perfusion imaging (rMPI) and how to best comply to AUC mandates. In this timely activity, you’ll gain key insights to expand your current processes, or prepare you for what’s to come.

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Review CMS PAMA requirements for advanced imaging and outline implications for PCPs ordering radionuclide MPIs
  • Develop systematic approaches to better interpret AUCs for radionuclide MPIs
  • Determine the most appropriate cardiac imaging tests for the assessment of coronary artery disease in individual patients


Rupa Sanghani, MD (Chair)

Associate Professor of Medicine
Director of Nuclear Cardiology
Chief of Clinical Operations for Cardiology
Rush University

Lisa Ravindra, MD

Assistant Professor of Internal Medicine
Rush University
Adult Primary Care Physician
Rush River North Office

Physician Continuing Medical Education

Accreditation Statement

In support of improving patient care, Rush University Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. This activity is being presented without bias and with commercial support.

Credit Designation

Rush University Medical Center designates this internet enduring material activity for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

Disclosures of Conflicts of Interest

As a provider of continuing education, Rush University Medical Center asks everyone who is in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest. This includes any entity producing, marketing, re-selling, or distributing health care goods or services consumed by or used on patients. The ACCME defines “relevant financial relationships” as financial relationships in any amount occurring within the past 12 months, including financial relationships of a spouse or life partner that could create a conflict of interest. Mechanisms are in place to identify and resolve any potential conflict of interest prior to the start of the activity.

ACHL and Rush University Medical Center staff members, and others involved with the planning, development, and review of the content for this activity have no relevant affiliations or financial relationships to disclose.

The following financial relationships have been provided:

Rupa Sanghani, MD has no financial relationships to disclose.

Lisa Ravindra, MD has no financial relationships to disclose.

Instructions for Participation and Credit

This activity will take approximately 30 minutes to complete. To receive credit, participants are required to complete the pretest, view the online activity and complete the posttest and evaluation. To receive credit, 80% must be achieved on the posttest. A certificate will be immediately available. There is no fee to participate in the activity or for the generation of the certificate.

For questions, contact Laurie Novoryta at

Hardware and Software Requirements


  1. Active Internet connection (DSL or Cable). Dial-up connection will have constant buffering problem.
  2. Compatible with Windows PC and MAC (256 MB of RAM or higher)
  3. Activity is best viewed on Internet Explorer 9.0 or higher, Safari 5.0 or higher and Firefox 29.0 or higher
  4. Adobe Flash Player 12.0 (or higher).
  5. Adobe Reader to print certificate.
  6. Allow ActiveX controls to run on your computer: If the yellow strip appears on the top of your web browser while running the Webcast, right click on it and select Allow blocked contents to run.
  7. Turn the Pop-up blocker off: On the Tools menu, point to Pop-up Blocker, and then click Turn Off Pop-up Blocker


Disclosure of Unlabeled Use

Discussion of Off-Label, Investigational, or Experimental Drug/Device Use: None


The content for this activity was developed independently of the commercial supporter. All materials are included with permission. The opinions expressed are those of the faculty and are not to be construed as those of the publisher or grantor.

This educational activity was planned and produced in accordance with the ACCME Accreditation Criteria, Policies, and Standards for Commercial Support. Recommendations involving clinical medicine in a continuing medical education (CME/CE) activity must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported, or used in CME/CE in support or justification of a patient care recommendation must conform to the generally accepted standards of experimental design, data collection, and analysis.