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ACC Advocate

Promoting Strong Practices, Protecting Patient Access

Current Issue - October 23, 2014


ACC Advocacy in Action: ACC Advocacy seeks to advance the College's mission of improving the cardiovascular wellbeing of the nation through interactions with Congress, federal government agencies, state legislative and regulatory bodies, private insurers and other policy making groups. By advocating for a quality driven health care system, provider stability, population health and the future of cardiovascular medicine, the ACC is leading the transformation of care. ACC's Advocacy efforts have resulted in numerous notable wins so far this year. Successes include tackling the Sustainable Growth Rate, facilitating alternative payment model participation, testifying during congressional committee hearings, advancing crucial legislation in the states, connecting a record number of ACC members with lawmakers, and having the number one cardiovascular political action committee. Take a closer look at how ACC is advocating for youPDF.

Coding Changes Are Coming! In 2015, cardiology will see new codes for a Subcutaneous Implanted Defibrillator System. Additionally, new codes have been created for Trancatheter Mitral Valve Repair (TMVR) and a new Transesophageal Echocardiography code when performed with an intervention, such as TMVR. There is also development of a new family of Extracorporeal Membrane Oxygenation codes and several revised CPT codes. Join the ACC on Nov. 12 at 4 p.m. ET for a webinar on CPT coding changes for cardiology in 2015. The chair of the ACC's Coding Task Force will cover the new changes that will impact health care providers in their practice. The webinar will also review the values for each new code, which will be determined by the final 2015 Physician Fee Schedule. Stay ahead of the coding curve! The 2015 CPT Reference Guide for Cardiovascular Coding, prepared by cardiovascular experts, is designed to help cardiovascular specialists and staff efficiently and accurately report cardiovascular services and procedures. Order your copy today to ensure you navigate the upcoming coding changes correctly.

PQRS Quality Measures Preview: As part of the 2013 Physician Fee Schedule, the Centers for Medicare and Medicaid Services (CMS) will publicly report a sub-set of the 2013 Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) web interface measures for groups of 25 or more eligible professionals (EPs) and Accountable Care Organizations (ACOs) on Physician Compare. A preview period is underway and group practices can view their quality measures between now and Nov. 7 before they are made public. Group practices that satisfactorily reported 2013 Diabetes and Coronary Artery Disease measures using the PQRS GPRO website should have received instructions about previewing measure data. Questions? Contact PhysicianCompare@Westat.com.

Understanding the 2015 PQRS Payment Adjustments: To help EPs understand the 2015 PQRS payment adjustments, which are based on 2013 reporting, CMS has released two new resources. The Quick-Reference Guide for Understanding the 2015 PQRS Negative Payment AdjustmentPDF provides background on the 1.5 percent payment adjustment that will be applied in 2015 to PQRS GPRO participants that did not satisfactorily report in 2013. From Jan. 1 to Feb 28, 2015, individual EPs, Comprehensive Primary Care practice sites, group practices or ACOs participating via GPRO can request that CMS perform an informal review of their 2015 incentive eligibility or penalty determination. Instructions on how to submit this request can be found in the 2013 PQRS: Incentive Eligibility and New 2015 Negative Payment Adjustment – Informal Review Made SimplePDF document.

ACC Launches New CHD Clinic Directory: Your ACC has launched a new online congenital heart disease (CHD) clinic directory designed to help patients, families and providers find specialty CHD care. The directory, which was developed in collaboration with the ACC's Adult Congenital and Pediatric Cardiology Section, includes nearly 200 CHD centers or practices providing pediatric cardiology or specialty adult CHD services. Users can search providers by name, center, location or specialty – and easily determine if their chosen provider is a Fellow of the ACC. The College hopes the directory will make it easier for CHD patients to connect with the right provider. The ACC has been a leader in promoting the importance of CHD as a lifelong disease, requiring specialized care. The ACC is actively working with patient advocacy groups and key medical stakeholders to advocate for health care systems and policies that emphasize a continuum within CHD care.

Lookout for AMA RUC Surveys: In the next few weeks, the ACC and other societies will randomly distribute an American Medical Association (AMA) Relative Value Scale Update Committee (RUC) survey of myocardial perfusion imaging codes, pacemaker and implantable cardioverter defibrillator programming codes, intravascular ultrasound and transcatheter pulmonary valve implantation. We need your assistance to ensure the relative value units are accurately and fairly presented to CMS. Since CMS relies on the recommendations from specialty societies and the RUC as a basis for setting payment levels for physician services, we need your input. The more data we receive, the more compelling our recommendations will be to the RUC and ultimately to Medicare. If you are randomly selected and receive a survey, please take time to complete it. Survey distribution and collection will start in late October and complete in mid-November. The information you provide in this AMA survey will be kept confidential by the ACC. The e-mail will come from noreply@qemailserver.com so please add this address to your e-mail client so that the message does not end up in junk or spam.

ICD-10 Update: If you volunteered to participate in the ICD-10 testing to be held Jan. 26-30, 2015, you will be notified if you have been selected to participate beginning Oct. 24. To help you prepare for the transition to ICD-10, which will go into effect on Oct. 1, 2015, CMS has released a revised version of ICD-10-CM/PCS Billing and Payment Frequently Asked Questions. This fact sheet, designed to provide education on the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System, includes billing and payment Frequently Asked Questions and resources.

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