Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

ECMO MS-DRG assignment is changing—what does this mean for your program?

by Daniel Roza and Ben Wheeler February 13, 2019

Cardiovascular service lines across the country were taken by surprise last October, when CMS unveiled an unexpected and potentially paradigm-shifting change to coding and reimbursement for extracorporeal membrane oxygenation (ECMO). In its Inpatient Prospective Payment Systems (IPPS) final rule for fiscal year 2019, CMS announced that it would transition from classifying ECMO by a single ICD-10 procedure code to multiple codes. These codes would distinguish ECMO procedures by mode of vascular cannulation (central or peripheral) and indication (cardiac or respiratory), with different reimbursement for each code.

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Improve your STEMI network with this best practice

by Jordan Sanford December 19, 2018

The hub-and-spoke model has emerged as a useful strategy to improve the care quality and cost efficiency of treating high-acuity CV patients, like those with ST-elevation myocardial infarction (STEMI). By streamlining the transfer of complex patient to advanced care facilities, care networks can address many of the challenges associated with treating these patients at spoke hospitals, such as limited provider and staff experience, slow response times, and high infrastructure costs.

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5 CV takeaways from CMS' 2019 outpatient final rules

by Emily Snow December 5, 2018

During the first week of November, CMS released its annual finalized regulations for payments to hospital outpatient departments (HOPDs), paid under the Hospital Outpatient Prospective Payment System (HOPPS), and physicians, paid under the Medicare Physician Fee Schedule (MPFS). Our key takeaway from the two rules this year: CMS is taking clear measures to control outpatient spending.

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AI is improving CV care. Here are 6 ways it can make a difference for you.

by Jordan Sanford November 21, 2018

Experts believe that we are on the cusp of exponential growth in the speed at which we can process information. This growth is fueled in part by advances in artificial intelligence (AI), which has the potential to disrupt the health care industry as we know it. According to Advisory Board research, the market size for AI technologies is expected to grow from $600 million in 2014 to $6.6 billion in 2021—and 50% of hospitals are forecasted to use such technologies in the next five years.

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How CHI Memorial improved TAVR documentation—and 3 ways you can, too

October 24, 2018

Since TAVR first hit the U.S. market, structural heart programs have made vast improvements in increasing efficiency of the program and the procedure. These efforts have not only increased outcomes and experience for patients, but also improved fiscal sustainability of these resource-intensive programs.

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The 5 key takeaways on the new heart transplant allocation guidelines

by Aaron Mauck and Daniel Roza October 12, 2018

On October 18, 2018, the United Network for Organ Sharing (UNOS) will implement extensive changes to its adult heart allocation policy, which may have implications for your transplant-eligible patients.

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3 ways CV outpatient payments could change in 2019

by Megan Tooley and Emily Snow September 26, 2018

As usual, this summer brought new CMS proposals for outpatient and physician payments, which if finalized would go into effect for the 2019 calendar year. While this year's proposed updates were not as monumental as some in recent years, there are still some significant changes that will impact cardiovascular service lines.

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VAD program adoption is growing—but is it the right move for you?

by Megan Tooley and Dhananjai Seth September 12, 2018

Optimizing management of heart failure (HF) patients has been a priority for cardiovascular programs for years, and CV leaders are continuing to evaluate new opportunities to better treat this growing patient population. In fact, the American Heart Association expects the prevalence of heart failure to grow by 46%, to 8.5 million individuals, by 2030.

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