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CMS Releases 2025 Medicare Physician Fee Schedule and Hospital OPPS Final Rules

American College of Cardiology

Overall, PFS reimbursement for cardiovascular services is projected to remain flat compared with 2024, with changes to policies and individual services roughly balancing out. Of note, the 2025 PFS conversion factor is $32.3465, a reduction of 2.83% from $33.2875 in 2024.

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CMS Releases Proposed 2025 Medicare Physician Fee Schedule and Hospital OPPS Rule

American College of Cardiology

The overall reimbursement for cardiovascular services is projected to remain flat compared with 2024, with changes to policies and individual services roughly balancing out. The Centers for Medicare and Medicaid Services (CMS) has released the proposed 2025 Medicare Physician Fee Schedule (PFS).

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From the Member Sections | Tackling the Polypharmacy Pandemic in CV Care

American College of Cardiology

In today's health care landscape, where quality metrics tied to reimbursement have become the standard, clinicians are under increasing pressure to prescribe specific medications. The most vulnerable among us are often prescribed the most complex regimens, creating the perfect storm for preventable harm.

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Coding Corner: How to Use New ASCVD Risk Assessment and Management Codes

American College of Cardiology

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.

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Business of Cardiology Intensive Highlights Importance of Addressing the CV Workforce Crisis

American College of Cardiology

This topic, and others tied to the business of medicine such as clinician reimbursement, value-based care and system sustainability, are part of a four-session Intensive taking place today and tomorrow during ACC.24.

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Action Steps Following CCTA Coding Change From 2025 OPPS Final Rule

American College of Cardiology

This change will raise reimbursement for these services from a national rate of $175.06 in 2024 to $357.13 in 2025.

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New CV ASC Registry Suite Tracks Cardiac Procedures and Provides Benchmarks For ASCs

American College of Cardiology

The number of cardiac procedures being performed in ambulatory surgery centers (ASCs) has grown significantly over the last decade, and third-party payer reimbursement, led by the Centers for Medicare and Medicaid Services, have resulted in continued trends of minimally invasive cardiac procedures on stable patients increasingly being performed outside (..)