Appropriate Use Criteria
The WSMA supports the use of evidence-based appropriate use criteria (AUC)
by insurance companies as a requirement before payers can reject a claim
and that imaging tests scored as “appropriate” by the AUC not be eligible
for rejection by payers. (Res C-21 A-23)
Return to the WSMA Policy Compendium index
Abbreviations for House of Delegates report origination:
EC – Executive Committee; BT – Board of Trustees; CPA – Council on
Professional Affairs; JC – Judicial Council; CHS – Community and Health
Services