January 28, 2010

Dr. Richard Kovacs
Indiana-ACC Update
Richard J. Kovacs, MD, FACC

Indiana-ACC

President's Message

Colleagues,

I attended the Indiana State Medical Association Medicine Day on Wednesday, January 20. The key issues discussed included open access (HB 1022), smoke-free legislation (HB 1131), and licensure of lay midwives (SB 232).

House Bill 1131 - Smoke-Free Legislation
House Bill 1131 would prohibit smoking in: (1) public places; (2) enclosed areas of a place of employment; and (3) certain state vehicles. It provides exceptions to certain gaming facilities and requires the alcohol and tobacco commission to enforce the prohibition. It makes it a Class B infraction to violate the smoking prohibition and a Class A infraction if the person has three unrelated prior offenses. It repeals the current clean indoor air law that prohibits smoking in public buildings. Rep. Charlie Brown, sponsor of the bill, withdrew the legislation this week after numerous amendments were proposed that would have negated its effectiveness at banning smoking in public places.

House Bill 1022 - Open Access
The bill seeks to prohibit a health insurer's use of so-called "open access" or "discrimination by payer" clauses when contracting with providers. It allows physicians the important ability to control their own practice payer mix; it seeks to put the control back to the small business allowing them to set a limit on the number of patients from each payer that their practice is able to accept. There would be no impact on current patients. This bill will NOT affect Medicaid or the Healthy Indiana Plan. Ask your legislators to vote yes on House Bill 1022 and to support only those amendments supported by the authors of the bill.

Attend the Indiana-ACC Legislative Day on Feb. 18
With the impact of government on the practice of medicine, it is critical for you to take time to establish good relationships with your legislators. Because we have not yet seen meaningful health legislation coming out of this session, it is more important than ever to let them know that we have some concerns about the practice environment in the state (e.g. insurance company requirements, the legislature rejecting something as fundamental as avoiding second-hand smoke, etc.).

The Indiana-ACC Legislative Day will provide you with the opportunity to visit your Indiana representatives and senators to introduce them to cardiology issues facing you and your patients. Building relationships with your state lawmakers will help ensure that the Indiana General Assembly remains physician friendly. There is no charge for the event, and appointments with your lawmakers will be made for you. Parking will be validated.
Register today!
 
In This Issue
Free Webcast on ICD Registry
Coding Changes
Calendar of Events
February 18, 2010
Indiana-ACC Legislative Day
Indianapolis, IN
Register here.

April 28, 2010
Indiana-ACC Coding Seminar
Indianapolis, IN
Call 800-227-7888 to register.

October 30, 2010
Indiana-ACC 14th Annual Meeting
Indianapolis Marriott Downtown
indiana.acc@gmail.com
www.inacc.org
317.456.2223
866.44.INACC

ICD Registry™ V2.0: Register Now for the Free Webcast on February 11

The ACC's NCDR in partnership with the Heart Rhythm Society is holding a "National ICD Registry Webcast Overview of V2.0"on Feb. 11 at 2 PM (ET). The Webcast is designed to introduce the new version of the ICD Registry taking effect in April 1. Topics include:  
  • Purpose of the expansion of the ICD Registry
  • The role of the ICD for primary and secondary prevention
  • Changes to the ICD Registry in Version 2.0  
Register now for this free webcast (sponsored by Boston Scientific, Inc.).
New Year, New Coding Changes

As of Jan. 1, substantial changes occurred in the coding for three commonly used services - myocardial perfusion/SPECT imaging, coronary CT angiography (CTA) and cardiac MRI. CMS's continued pressure to bundle together imaging services reported with multiple codes has now hit myocardial perfusion imaging. In 2010, myocardial perfusion imaging / SPECT studies, including wall motion and ejection fraction, will be reported with a single code (78452). The codes for coronary CTA have also changed for 2010. Although coronary CTA in the past was reported using eight different Category III codes, in 2010, these codes have been replaced with four Category I codes. The reporting structure for cardiac MRI codes changed slightly in 2010. As a result of the reporting change, four codes were deleted and a new add-on code created.
 
With these changes in effect, practices need to work with their health plans to accurately implement and crosswalk the 2009 codes to the new 2010 codes so processing goes smoothly. Practices should also negotiate with health plans to avoid tying future private payer rates to Medicare rates, as Medicare rates for certain services will decrease over coming years. Given the complicated nature of these coding changes, the ACC has created resources for practices to help them with the transition, along with the other changes to the cardiovascular practice environment. Visit http://www.acc.org/practicemanagement for specific information and check out the upcoming January/February issue of Cardiology magazine. For issues with implementation of new coverage policies, please contact Henry McCants at hmccants@acc.org.
 
Call to Action Atrial Fibrillation - Eric Prystowsky, MD, FACC

Twenty-four organizations have joined together to form AF Stat (TM): A Call to Action for Atrial Fibrillation. The goal of this national initiative is to raise awareness of the atrial fibrillation disease state among the general population. The first accomplishment of the group is the document AF Stat: A Call to Action, which addresses the steps needed to improve care of the a-fib patient. As the medical lead, I am working with Senator Bill Frist, a cardiovascular surgeon and the health policy advisor, and Jerry West, the former NBA player providing the a-fib patient perspective. We will be working with Congress in the next several months in order to put atrial fibrillation on the map through advocacy. If we as cardiovascular specialists can reach patients who might not be receiving care for their atrial fibrillation, then we are moving in the right direction.