Cassling

FEBRUARY 17, 2023

For the past few years, providers of outpatient Medicare-eligible X-rays conducted on a computed radiography system experienced a payment reduction of 7% on each exam. At the beginning of this year, a reimbursement cut came into effect that went largely under the radar, despite many providers still utilizing the system in question.

Reimbursement 52

Reimbursement Medicare Outpatient Blog 52

American College of Cardiology

SEPTEMBER 5, 2024

The ACC submitted formal comments to the Centers for Medicare and Medicaid Services (CMS) on Sept. 4, providing feedback and raising concerns on several issues of relevance to the cardiovascular community in the 2025 Hospital Outpatient Prospective Payment System (OPPS) proposed rule.

Hospital 43

Hospital CMS Medicaid Medicare 43

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 43

Hospital CMS Medicaid Medicare 43

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 2024 to $357.13 in 2025.

Reimbursement 41

Reimbursement CMS Medicaid Medicare 41

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

Cardiovascular Diabetology

JULY 7, 2024

The costs were direct total health care expenditures (out-of-pocket payments and payments by private insurance, Medicaid, Medicare, and other sources) from various sources (office-based visits, hospital outpatient, emergency room, inpatient hospital, pharmacy, home health care, and other medical expenditures).

Diabetes 72

Diabetes Cardiovascular Disease Drug Costs Medicaid 72

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

Stroke Journal

NOVEMBER 22, 2024

While hypoglycemia has been established as a risk factor for cardiovascular events such as acute ischemic stroke (AIS), there is limited research demonstrating hypoglycemic events as stroke triggers.

Diabetes 71

Diabetes Stroke Strokes Medicare 71

Stroke Journal

JANUARY 30, 2025

There are limited population-based data regarding the prevalence of CAA and associated risks of mortality and incident cerebrovascular events.Methods:We performed a retrospective cohort study using inpatient and outpatient claims from 2008 to 2018 from a nationally representative 5% sample of Medicare beneficiaries. 95% CI, 19.6-52.4),

Hemorrhage 40

Hemorrhage Medicare Stroke Strokes 40

Stroke Journal

JANUARY 30, 2025

The study outcome was a new speech pathology (SLT), occupational therapy (OT), or physical therapy (PT) encounter during the first year after discharge.Results:57,647 total cases were identified with 30% Medicare FFS, 33% Truven (Commercial) Medicare Advantage plan (65 years and older), and 37% Truven commercial (less than 65 years old).

Medicare 40

Medicare Stroke Strokes Outpatient 40

Stroke Journal

JANUARY 30, 2025

However, there are limited population-based data regarding the risk of intracranial hemorrhage associated with AD.Methods:We performed a retrospective cohort study using inpatient and outpatient claims between 2008-2018 from a nationally representative 5% sample of Medicare beneficiaries 65 years of age. andICD-10-CMcode G30.x.

Hemorrhage 40

Hemorrhage Medicare Outpatient Inpatient 40

Stroke Journal

JANUARY 30, 2025

This initiative, led by Advanced Practice Providers (APPs), aimed to refine the post-discharge process to enhance care quality and reduce missed follow-ups.Methods:We introduced a streamlined follow-up process for stroke patients discharged home, adhering to the Centers for Medicaid and Medicare (CMS) Transitional Care Management (TCM) model.

CMS 40

CMS Stroke Strokes Reimbursement 40

DAIC

MARCH 7, 2024

It reported the rate of CCTA exams by radiologists in hospital outpatient departments increased markedly from 2010 to 2019. Over that period, the rates of CCTA by radiologists in hospital outpatient departments increased by 355%, according to findings of Russell A. Reeves, MD, Ethan J. Halpern, MD, and Vijay M.

Technology 111

Technology Document Cardiovascular Imaging Cancer 111

Circulation: Cardiovascular Quality & Outcomes

MARCH 3, 2025

Patients could enter the study cohort upon receiving WATCHMAN or at an outpatient visit with an atrial fibrillation diagnosis, respectively. We used PS matching with a 1:3 ratio for patients in pLAAO and direct oral anticoagulant groups.

Atrial Fibrillation 40

Atrial Fibrillation Medicare Outpatient Cancer 40

Stroke Journal

APRIL 3, 2024

Within the PSD cohort, 25 451 (71.5%) had no death or recurrent stroke within 6 months and 5592 (15.7%) had no death or readmission of any cause within 6 months.

Stroke 40

Stroke Strokes Medicare Outpatient 40

Stroke Journal

JANUARY 30, 2025

The exposure was an incident diagnosis of non-traumatic intracranial hemorrhage, defined as a composite of intracerebral hemorrhage, subarachnoid hemorrhage, or subdural hemorrhage.

Dementia 40

Dementia Hemorrhage Medicare Outpatient 40

Stroke Journal

JANUARY 30, 2025

This initiative aimed to enhance the post-discharge process to improve care quality and reduce missed follow-ups.Methods:We implemented a streamlined follow-up process for stroke patients discharged home, aligning with the Centers for Medicaid and Medicare (CMS) definition of the Transitional Care Management (TCM).

CMS 40

CMS Stroke Strokes Reimbursement 40

DAIC

MARCH 3, 2025

GE HealthCare will mark the commercial launch of Flyrcado at the annual American College of Cardiology congress in Chicago from March 29-31, 2025, and expects to receive pass-through status from the US Centers for Medicaid and Medicare (CMS) shortly thereafter, enabling separate reimbursement for Flyrcado in the hospital outpatient setting.

Coronary Artery Disease 52

Coronary Artery Disease Ischemia Exercise Hospital 52

Circulation: Cardiovascular Quality & Outcomes

OCTOBER 19, 2023

This study evaluated the relationship between community-level distress and CR participation, access to CR facilities, and clinical outcomes.METHODS:A retrospective cohort study was conducted on a 100% sample of Medicare beneficiaries undergoing inpatient coronary revascularization between July 2016 and December 2018.

Cardiac Rehabilitation 40

Cardiac Rehabilitation Inpatient Myocardial Infarction Outcomes 40

Stroke Journal

JANUARY 30, 2025

This analysis longitudinally characterizes VI and non-VI stroke transfer networks to assess their evolution.Methods:Using the 2016-2018 US Centers of Medicare Fee-For-Service files, we captured patients with ischemic stroke who had an ED-hospital transfer, defined as a beneficiary with: 1) any outpatient ED claim the day of or prior to the inpatient (..)

Hospital 40

Hospital Stroke Strokes Medicare 40

Stroke Journal

FEBRUARY 1, 2024

However, there are limited population-based data regarding the risk of seizures associated with clinically diagnosed CAA.Methods:We performed a retrospective cohort study using inpatient and outpatient claims from 2016 to 2018 from a nationally representative 5% sample of Medicare beneficiaries.

Medicare 40

Medicare Outpatient Inpatient Hemorrhage 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Study Population includes all patients with an ischemic stroke inpatient admission in 2018 and were continuously enrolled with Medicare FFS for 1 year prior to and following their initial 2018 stroke admission.

Risk Factors 40

Risk Factors Stroke Strokes Medicare 40

Circulation: Heart Failure

JANUARY 26, 2024

Patients who underwent bariatric surgery were matched to controls in a 1:2 ratio (matched on exact age, sex, race, body mass index, HF encounter year, and HF hospitalization rate pre-surgery/matched period).

Heart Failure 40

Heart Failure Obesity Outcomes Medicare 40

Frontiers in Cardiovascular Medicine

NOVEMBER 24, 2024

Outpatient intravenous (OP IV) diuresis in clinic or home settings may potentially improve outcomes and reduce costs, though limited data exists. IntroductionHeart failure (HF) burdens the US healthcare system, with annual costs exceeding $30 billion. male, and 74.8% NYHA III-IV. respectively).

Outpatient 59

Outpatient Heart Failure Medicare Inpatient 59