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

American College of Cardiology

The Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Physician Fee Schedule (PFS) final rule and the 2025 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) final rule on Nov. Of note, the 2025 PFS conversion factor is $32.3465, a reduction of 2.83% from $33.2875 in 2024.

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HeartFlow Announces New Reimbursement Code and Increased Payment for FFRCT

DAIC

In the hospital setting, CMS increased payment for the FFRCT service by ~7% for 2024. The new code can be used for hospital outpatient, physician offices, or imaging centers. Better reimbursement for hospitals leads to improved accessibility to this technology, which is a win for everyone involved, most notably patients.”

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Cardiology, heart surgery reimbursements down at least 29%

Becker's Hospital Review - Cardiology

"Discover the alarming findings of a recent study on Medicare reimbursements, revealing a 29% decrease for cardiology and even greater declines for cardiac

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Atria’s Independent Cardiology Play 

CardiacWire

The shift towards corporate and hospital-owned cardiology groups stems from a long list of factors like falling reimbursements, rising costs, and partners who want an exit. Instead, Atria acts as a financial backstop to get physicians out from under their hospital employers and then takes about half of the profits.

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Excess Bed Days and Hospitalization Costs Associated With 30?Day Complications Following Catheter Ablation of Atrial Fibrillation

Journal of the American Heart Association

BackgroundThe incidence and type of complications following catheter ablation of atrial fibrillation have been extensively examined, but the impact associated with these complications on the length of stay and hospitalization costs is unknown.Methods and ResultsThis cohort study included 20 117 adult patients (mean age 62.6±11.4 years,

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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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Cardiologists Busted for Overbilling Nationwide

CardiacWire

Medicare Part B reimburses providers for radiopharmaceuticals based on self-reported acquisition costs, leaving billing up to the honor system. Cape Cod Hospital paid an eyewatering $24.3M Adding to a relentless trend of Medicare schemes, 16 cardiology practices agreed to pay more than $17.7M In 13 states and D.C.,