American College of Cardiology

NOVEMBER 1, 2024

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.

CMS 58

CMS Medicare Hospital Reimbursement 58

DAIC

OCTOBER 21, 2024

1 A growing patient population, increase in electrophysiology procedures, and rapid innovation in the field have led to elevated government scrutiny on cost, resulting in drastic cuts for reimbursement for common AF procedures. Reductions in reimbursement are making it difficult to retain and attract heart rhythm specialists.

Heart Rhythm 52

Heart Rhythm Reimbursement Atrial Fibrillation Electrophysiology 52

DAIC

JUNE 4, 2024

HeartFlow FFRCT has an established reimbursement pathway which is covered for 99% of people in the US with health insurance. We are confident that Plaque Analysis will not only meet but exceed the rigorous standards of Medicare,” added Cara Santillo, Senior Vice President of Market Access and Reimbursement at HeartFlow.

Medicare 104

Medicare Plaque Reimbursement Cardiovascular Disease 104

American College of Cardiology

NOVEMBER 7, 2024

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

Medicare 40

Medicare CMS Reimbursement Medicaid 40

Cassling

OCTOBER 14, 2024

510(k) clearance secured from FDA allows for EIQ’s AI-enabled solution, EchoSolv AS, to be marketed and sold in the USA Clearance marks a major milestone and will allow for rapid commercial scale-up EIQ is in advanced discussions with a range of US healthcare providers around the potential uptake of EchoSolv AS Working alongside US consultancy to obtain (..)

Reimbursement 80

Reimbursement Stenosis Technology Aortic 80

DAIC

JUNE 14, 2024

Cardiac PET Industry Coalition CPIC passionately advocates for and protects the reimbursement of Cardiac PET, ensuring equitable access to innovative and life-saving technologies for healthcare providers and patients. For more information: www.positron.com If you enjoy this content, please share it with a colleague

Reimbursement 105

Reimbursement Technology Innovation Education 105

American College of Cardiology

JULY 10, 2024

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).

CMS 61

CMS Medicare Reimbursement Medicaid 61

DAIC

JULY 18, 2024

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 Electrocardiogram Technology Medicaid 105

DAIC

MARCH 13, 2024

CMS previously published a New Technology APC (Ambulatory Payment Classifications) code that covers the CardiAMP Cell Therapy investigational study procedure, including the BioCardia investigational products utilized to perform the study procedure, allowing the study centers to be reimbursed for the study procedure and products.

CMS 111

CMS Heart Failure Reimbursement Quality of Life 111

Frontiers in Cardiovascular Medicine

DECEMBER 13, 2023

The highest difference 1n the reported numbers in the REPACE Registry did not exceed 2% in comparison with the National Register of Reimbursed Health Services. Number of patients in the registry corresponded almost perfectly with the National Register of Reimbursed Health Services.

Pacemaker 64

Pacemaker Reimbursement COVID-19 64

American College of Cardiology

APRIL 6, 2024

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.

Reimbursement 51

Reimbursement Article 51

Society of Thoracic Surgeons - Allied Health

NOVEMBER 16, 2023

Friday, February 23 Saturday, February 24 Early Bird registration deadline: January 17 Description The STS 2024 Coding Workshop: Best Practices for Cardiothoracic Surgery is a 2-day virtual event that provides coders, surgeons, and billing professionals with the latest updates to CPT and physician coding and reimbursement.

Cardiothoracic 52

Cardiothoracic Reimbursement Best Practices Education 52

American College of Cardiology

FEBRUARY 15, 2024

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 (..)

Reimbursement 48

Reimbursement Medicaid Medicare Hospital 48

DAIC

JULY 31, 2024

Challenges also exist in developing a strategy at the practice level for implementing an RPM program, including reimbursement options and device integration into the clinician workflow. According to the authors, questions exist around the validity of device data and the need for higher standards of sensitivity and specificity, including U.S.

Reimbursement 98

Reimbursement Technology Coronary Artery Disease Best Practices 98

American College of Cardiology

JUNE 6, 2024

The letter supports the agency’s efforts to improve health equity by incentivizing care for people who are unhoused, and provides feedback on other provisions tied to medical data exchange processes, reimbursement for concomitant cardiac procedures, and a proposed mandatory episode-based payment program called the Transforming Episode Accountability (..)

CMS 44

CMS Reimbursement Medicaid Medicare 44

DAIC

NOVEMBER 8, 2024

The approval of TPT offers incremental reimbursement payments for outpatient procedures performed with ultrasound renal denervation for Medicare fee-for-service beneficiaries. Centers for Medicare & Medicaid Services (CMS) have granted the company’s Paradise Ultrasound Renal Denervation system a Transitional Pass-through (TPT) payment.

CMS 52

CMS Ultrasound Blood Pressure Reimbursement 52

HeartRhythm

MAY 14, 2024

The rapid pace of innovation in EP may be hindered by several challenges including the aging population with increasing morbidity, the availability of multiple costly therapies that, in many instances, confer minor incremental benefit, the limitations of healthcare reimbursement, the lack of response to therapies by some patients, and the complications (..)

Electrophysiology 45

Electrophysiology Quality of Life Education Reimbursement 45

DAIC

JULY 24, 2024

and reimbursed using existing reimbursement codes. This FDA-clearance is an important stepping stone for the further development of FibriCheck’s U.S. business activities. FibriCheck can now be prescribed in the U.S.

Heart Rhythm 105

Heart Rhythm Reimbursement Technology Atrial Fibrillation 105

Society of Thoracic Surgeons - Allied Health

NOVEMBER 15, 2022

The STS 2023 Coding Workshop: Best Practices for Cardiothoracic Surgery is a 2-day virtual event that will provide cardiothoracic surgery coders, surgeons, and all billing professionals with the latest coding and reimbursement updates affecting cardiothoracic surgical practices. ET – 4:15 p.m. ET – Welcome/Introductions 4:15 p.m.

Reimbursement 52

Reimbursement Cardiothoracic Document Congenital 52

CardiacWire

MAY 29, 2024

falling reimbursements, rising costs, administrative burdens, payor difficulties) and incentives (e.g. In fact, there’s now only 30 independent practices with over 50 cardiologists. The shift towards corporate and hospital-owned cardiology groups doesn’t seem to be slowing down, as a long list of challenges (e.g.

Private Practice 59

Private Practice Reimbursement Hospital 59

Cassling

AUGUST 17, 2023

When you’re unable to rely on hospital administration or a purchasing manager to oversee the business end of your practice, including purchasing, service contracts, staffing, reimbursement and more, it’s imperative that you keep costs contained while simultaneously investing in equipment that will stand the test of time, supported by a reliable, all-encompassing (..)

Reimbursement 52

Reimbursement Hospital Blog 52

HeartRhythm

JANUARY 2, 2024

However, in some countries CRT is not reimbursed if a 3-lead device is not used, and the clinical impact of avoiding this additional lead has not been established. In patients with heart failure (HF) undergoing left bundle branch area pacing (LBBAP) for cardiac resynchronization therapy (CRT) without a defibrillator (e.g.,

Reimbursement 40

Reimbursement Defibrillator Pacemaker Heart Failure 40

HeartRhythm

APRIL 30, 2024

Moreover, the increasing emphasis on clinical productivity for reimbursements may deter some from pursuing research.

Research 40

Research Reimbursement Academic Electrophysiology 40

Frontiers in Cardiovascular Medicine

OCTOBER 7, 2024

The one-year mortality rates in these groups were 10.57%, 4.21%, and 6.47%, respectively (p = 0.010). In the unadjusted model, the SS group showed a lower risk of one-year mortality [Hazard Ratio (HR) 0.38, 95% CI 0.18–0.80, 0.80, p = 0.011], and the CS group also demonstrated a lower risk (HR 0.59, 95% CI 0.35–0.99,

Public Health 52

Public Health Myocardial Infarction STEMI Coronary Artery Disease 52

Stroke Journal

FEBRUARY 1, 2024

Questions included country-level availability of MT centers, operators, procedures, reimbursement, emergency medical services, cultural barriers, and other factors affecting systems of stroke care. MTA was defined as the estimated proportion of patients with thrombectomy-eligible LVOs receiving MT in each region annually. 0.99, p=0.013).Conclusion:The

Reimbursement 40

Reimbursement Strokes Stroke Hospital 40

Circulation

NOVEMBER 11, 2024

We evaluated annual trends in utilization (prescription fills) and total spending for statins and PCSK9i from 2018 to 2022, both overall and by individual drug formulation.

Medicaid 40

Medicaid Reimbursement Risk Factors Circulation 40

DAIC

OCTOBER 16, 2024

The SCCT HPPC offers tools for administrators to navigate the complex landscape of insurance plans, billing and reimbursement on SCCT website, scct.org. Novitas Solutions and First Coast Service Options, Inc. FCSO ) continue to consider coverage for AI-CPA on a case-by-case basis.

CMS 52

CMS Medicare Plaque Chest Pain 52

Journal of the American Heart Association

DECEMBER 1, 2023

women, median length of stay 1 day [interquartile range 1–2 days]) undergoing atrial fibrillation ablation in financial years 2011 to 2017 in Australia with available cost data from the National Hospital Cost Data Collection, which determines government reimbursement of health services provided.

Atrial Fibrillation 72

Atrial Fibrillation Hospital Ablation Reimbursement 72

GEMMS

MAY 8, 2024

This shift requires adjustments to practice style and billing processes to align with these new reimbursement models while ensuring the protection of individually identifiable health information and electronic protected health information. By neglecting these changes, your practice would see significant barriers in reimbursement rates.

Reimbursement 52

Reimbursement Technology Patient Care Education 52

DAIC

JUNE 19, 2024

Inevitably, given its fledgling status, regulation and reimbursement is still playing catch-up, though 2023 saw some important developments in this regard. Figure 2: VC funding for AI in Medical Imaging vs. ECG The Missing Piece In a similar vein, the reimbursement framework for AI-in ECG is very much in its infancy.

AFIB 105

AFIB Reimbursement Research Atrial Fibrillation 105

DAIC

MARCH 7, 2024

The CardiAMP HF trial is supported by the Maryland Stem Cell Research Fund and has reimbursement from the Centers for Medicare and Medicaid Services (CMS) for both treatment and control procedures. The CardiAMP HF II trial is expected to similarly secure CMS reimbursement.

Heart Failure 105

Heart Failure Biomarkers Reimbursement CMS 105

CardiacWire

MAY 22, 2024

RPM Frustration – Although RPM is evolving fast and is more vital than ever, a keen ear could pick up signs of frustration among RPM vendors, including concerns over lagging reimbursements, the need for updated guidelines, and perceptions that all remote monitoring tech is the same (because it’s not).

Electrophysiology 52

Electrophysiology Reimbursement Ablation Technology 52

DAIC

JULY 25, 2024

This marks a significant milestone for Positron as it enters the PET-CT market at an opportune time to meet an increased demand in nuclear cardiology driven by advancements in technology and a favorable reimbursement environment for PET-CT technology.”

Technology 105

Technology Reimbursement Innovation Hospital 105

Open Heart

NOVEMBER 20, 2023

Methods and results Data for all patients admitted to hospital care for acute coronary syndromes in Slovenia (nationwide cohort) between 2014 and 2021 were obtained by merging the national hospital database, national medicines reimbursement database and population mortality registry using unique identifying numbers.

COVID-19 52

COVID-19 Hospital Angina Myocardial Infarction 52

CardiacWire

JUNE 30, 2024

AI Impact – Cardiology might not be the first specialty that comes to mind when discussing healthcare AI, but cardiovascular AI products are seeing major product, reimbursement, and adoption progress this year.

Tricuspid 59

Tricuspid Reimbursement Medicare Electrophysiology 59

DAIC

JUNE 11, 2024

In electrophysiology, innovation is king, but it is often incremental, and it almost always lacks rationale, comprehensive clinical documentation and relevance for hospitals that try to balance the increasing costs of new technology with increasing demand and reimbursement that just can’t keep pace.

Innovation 104

Innovation AFIB Electrophysiology Technology 104

Journal of Cardiovascular Electrophysiology

DECEMBER 7, 2023

Results The primary analysis demonstrated that treatment with the WiSE-CRT system is likely to be cost-effective over a lifetime horizon at a QALY reimbursement threshold of £20 000, with a net monetary benefit (NMB) of £3781 per QALY. Outcomes were quantified in terms of quality-adjusted life year (QALY) differences.

Reimbursement 40

Reimbursement Technology Heart Failure Outcomes 40