American College of Cardiology

JULY 18, 2024

The Centers for Medicare and Medicaid Services (CMS) released the proposed 2025 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System rule on July 10. CMS proposes a 2.6% increase to OPPS payment rates that reflects a market basket update of 3.0%

Hospital 49

Hospital CMS Medicaid Medicare 49

American College of Cardiology

AUGUST 7, 2024

The Centers for Medicare and Medicaid Services (CMS) released the Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) Final Rule on Aug. 1, including a 2.9% increase in operating payment rates for general acute care hospitals, representing a 3.4% increase in the hospital market basket with a 0.5%

CMS 49

CMS Medicaid Medicare Inpatient 49

American College of Cardiology

APRIL 12, 2024

The Centers for Medicare and Medicaid Services (CMS) released the Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) proposed rule, proposing a 2.6% increase in operating payment rates for applicable hospitals. This represents a 3% projected increase in the hospital market basket update with a projected 0.4%

CMS 49

CMS Hospital Medicaid Medicare 49

American College of Cardiology

JANUARY 8, 2025

The Centers for Medicare and Medicaid Services (CMS) has temporarily reassigned coronary CT angiography (CCTA) codes 75572-75574 from ambulatory payment classification (APC) 5571 to APC 5572 in the 2025 Outpatient Prospective Payment System (OPPS) final rule. in 2025. in 2024 to $357.13 in 2024 to $357.13

Reimbursement 45

Reimbursement CMS Medicaid Medicare 45

American College of Cardiology

DECEMBER 2, 2024

The Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Physician Fee Schedule (PFS) final rule on Nov. Of note, the 2025 PFS conversion factor is $32.3465, a reduction of 2.83% from $33.2875 in 2024.

Medicare 45

Medicare CMS Medicaid Article 45

American College of Cardiology

JUNE 6, 2024

The ACC submitted formal comments on June 5 to the Centers for Medicare and Medicaid Services (CMS) regarding the Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) proposed rule.

Reimbursement 45

Reimbursement CMS Medicaid Medicare 45

American College of Cardiology

NOVEMBER 12, 2024

The Centers for Medicare and Medicaid Services (CMS) released the 2025 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) final rule on Nov. The rule will implement a 2.9% increase to OPPS payment rates that reflects a market basket update of 3.4% reduced by a productivity adjustment of 0.5%.

Hospital 40

Hospital CMS Medicaid Medicare 40

American College of Cardiology

DECEMBER 2, 2024

Work, practice, expense and liability relative value units (RVUs) are updated annually through the Centers for Medicare and Medicaid Services' Medicare Physician Fee Schedule (PFS) rulemaking.

Medicare 45

Medicare Medicaid Article 45

DAIC

JULY 18, 2024

In accordance with the AMA semi-annual early release schedule, the new codes will be effective January 1st, 2025 and published in the 2025 CPT Code book. CPT codes are widely used by government payers, including Medicare and Medicaid, and commercial insurance companies to identify healthcare services and procedures for reimbursement.

Reimbursement 105

Reimbursement Technology Electrocardiogram Medicaid 105

American College of Cardiology

JANUARY 3, 2025

The Centers for Medicare and Medicaid Services (CMS) created two new G codes in the 2025 Medicare Physician Fee Schedule final rule that will provide reimbursement for atherosclerotic cardiovascular disease (ASCVD) risk assessment and risk management services.

Reimbursement 49

Reimbursement Medicare CMS Medicaid 49

DAIC

NOVEMBER 8, 2024

Centers for Medicare & Medicaid Services (CMS) have granted the company’s Paradise Ultrasound Renal Denervation system a Transitional Pass-through (TPT) payment. It becomes effective January 1, 2025, and is expected to remain effective for up to three years. tim.hodson Fri, 11/08/2024 - 09:57 Nov. 1, 2024 — Recor Medical, Inc.

CMS 40

CMS Ultrasound Blood Pressure Reimbursement 40

American College of Cardiology

AUGUST 22, 2024

The Centers for Medicare and Medicaid Services (CMS) summarized a recent billing edit change in the 2025 Hospital Outpatient Prospective Payment System (OPPS) proposed rule, which fixes an issue that previously prevented hospitals from reporting costs for cardiac computed tomography (CT) as cardiology services.

CMS 40

CMS Medicaid Medicare Outpatient 40

DAIC

MARCH 3, 2025

tim.hodson Mon, 03/03/2025 - 16:07 Feb. 25, 2025 GE HealthCare has delivered the first patient doses of Flyrcado(flurpiridaz F 18) injection, a unit dose positron emission tomography myocardial perfusion imaging (PET MPI) agent for detecting coronary artery disease (CAD), at early adopter imaging centers in the US.

Coronary Artery Disease 52

Coronary Artery Disease Ischemia Exercise Hospital 52

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP137-AWP137, February 1, 2025. 1.39]), Medicaid insurance (1.16 [1.06-1.27]), groups were more likely to be older, males, Black or Asian race, Medicaid insurance, lower income, and more comorbidities. The AIS patients in the LKWA>4.5 1.32]), males (1.10 [1.03-1.17]),

Medicaid 40

Medicaid Strokes Stroke Outcomes 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ANS8-ANS8, February 1, 2025. Background and Purpose:Patients discharged home after a stroke are particularly vulnerable during the immediate post-discharge period.

CMS 40

CMS Strokes Stroke Reimbursement 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWMP82-AWMP82, February 1, 2025. Background and Purpose:Stroke patients discharged home face significant vulnerabilities in the immediate post-discharge period.

CMS 40

CMS Strokes Stroke Reimbursement 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AHUP8-AHUP8, February 1, 2025. Patients with safety-net features were those with Medicaid or no insurance. Hospitals were ranked based on the percentage of patients with safety-net features.

Hospital 40

Hospital Outcomes Strokes Stroke 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP122-AWP122, February 1, 2025. 1.43]) or on Medicaid (1.17 [1.08-1.26]; Introduction:Inpatient rehabilitation (IR) for patients with Acute Ischemic Stroke (AIS) offers improved functional recovery and quality of life. Across both IR discharge models, patients who were male (aORs: 1.17 [1.08-1.26];

Inpatient 40

Inpatient Strokes Stroke Atrial Fibrillation 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP328-ATP328, February 1, 2025. We longitudinally followed the patients by linking the registry data to the Center for Medicare&Medicaid Service (CMS) claims data. Objective:The role of statins in the management of intracerebral hemorrhage (ICH) remains controversial.

Medicare 40

Medicare CMS Medicaid Myocardial Infarction 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP132-ATP132, February 1, 2025. Patients with safety-net features were those with Medicaid or no insurance. Hospitals were ranked based on the percentage of patients with safety-net features.

Hospital 40

Hospital Outcomes Strokes Stroke 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWMP58-AWMP58, February 1, 2025. Patients using Medicare/Medicaid are more likely to have at least 1 SDOH compared to those with private insurance (2.19, 1.26-3.82, Medicaid/Medicare insurance status has been associated with readmissions and higher mortality than other patients.[1]

Thrombolysis 40

Thrombolysis Hospital Strokes Stroke 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP235-AWP235, February 1, 2025. Introduction:Insurance status may serve as an indicator of social and financial barriers that impede access to quality care. Disparities in outcomes of patients with ischemic stroke have been associated with insurance coverage. 2.03, p=0.022, Figure 1).

Hemorrhage 40

Hemorrhage Medicare Outcomes Medicaid 40

American College of Cardiology

NOVEMBER 7, 2024

The Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Physician Fee Schedule (PFS) final rule on Nov. Of note, the 2025 PFS conversion factor is $32.3465, reduced 2.83% from $33.2875 in 2024.

Medicare 40

Medicare Reimbursement CMS Medicaid 40

DAIC

JANUARY 14, 2025

tim.hodson Tue, 01/14/2025 - 11:19 Jan. As referenced in the CMS tracking sheet, the expected completion date for the national coverage analysis is October 11, 2025. FDA-approved breakthrough device.

CMS 52

CMS Medicare Blood Pressure Medicaid 52

DAIC

JANUARY 13, 2025

tim.hodson Mon, 01/13/2025 - 16:47 Jan. 13, 2025 R3 Vascular Inc., This approval allows the trial to take place at institutions that utilize WCG IRB as their central IRB in the United States.

Peripheral Arterial Disease 52

Peripheral Arterial Disease CMS Medicare Medicaid 52

DAIC

JANUARY 27, 2025

tim.hodson Mon, 01/27/2025 - 09:47 Jan. CMS' action follows Medtronic's work with the agency to pilot the framework for the Transitional Coverage for Emerging Technologies (TCET) pathway to establish coverage for the Symplicity Spyral renal denervation system, a U.S. FDA-approved breakthrough device.

CMS 52

CMS Blood Pressure Medicare Hypertension 52