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

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President's Message
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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 LegislationHouse 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. 18With 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!
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Calendar of Events
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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
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indiana.acc@gmail.com www.inacc.org 317.456.2223 866.44.INACC
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ICD Registry™ V2.0: Register Now for the Free Webcast on February 11
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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:
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Purpose of the expansion of the ICD Registry
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The role of the ICD for primary and secondary prevention
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Changes to the ICD Registry in Version 2.0
Register now for this free webcast (sponsored by
Boston Scientific, Inc.).
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New Year, New Coding Changes
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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.
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Call to Action Atrial Fibrillation - Eric Prystowsky, MD, FACC
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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.
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