In This Issue
Register Today
Practice Census
ICD-9 Codes
Ohio-ACC Elections
Ohioans Go to DC
Ohio-ACC Program Re-caps
Ohio-ACC
20th Annual Meeting
October 16, 2010
The Conference Center at NorthPointe
Columbus, OH

Learn More!
Special Session for Practice Managers

Poster Competition for Fellows-in-Training with Cash Prizes

Clinical Topics That Will Improve Your Patient Care

 
Not to Be Missed



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Ohio-ACC News                     October 2010
Robert E. Hobbs, MD, FACCPresident's Message
Robert E. Hobbs, MD, FACC

I am writing to provide you with an update about the legislation from Representative Gonzalez for the 2010 CMS final rule. In 2011, cardiology practices will face additional cuts in reimbursement for imaging procedures. Rep. Gonzalez has introduced legislation that will phase in these cuts over several years allowing practices to make appropriate adjustments. The ACC Legislative Affairs Team has been working with Rep. Gonzalez's staff and expect to have the legislative language finalized by Friday, October 8th. This legislation will introduced during the "Lame Duck" session of Congress, which will begin after the November 2nd elections. Our hope is to have this legislation rolled into the SGR vehicle that must pass before the SGR cuts go into effect on December 1st.
 
Congress adjourned on October 1st in order to campaign in their districts for the November elections. Since Congress will be back home, the ACC advocacy staff will be arranging meetings during the last two weeks of October with members of Congress who have signed on to HR 4371-the previous Gonzalez bill-as well as Senators who have expressed an interest in the legislation. They may be calling upon you to attend these very important meetings with hopes of securing as many original cosponsors as possible. In addition, there will be email alerts and other calls-to-action for all ACC members. Stay tuned.
Attend the Ohio-ACC Meeting on 10/16.

Make plans to attend the Ohio-ACC 20th Annual Meeting on Saturday, October 16, in Columbus! (Invite your practice manager to attend -- we have a special session just for them.)
Results of ACC Practice Census
See the Ohio Data

A new American College of Cardiology (ACC) survey of more than 2400 practices across the country provides a comprehensive snapshot of the changing landscape of cardiology practices. Respondents from 49 states and Puerto Rico provided valuable insight into the various ways the changes are forcing many private practices to take drastic actions in order to remain viable.
 
Over the last year, more than half of all practices have taken some form of cost-cutting action as a direct result of the reimbursement cuts included in the 2010 Medicare Physician Fee Schedule. The first and largest wave of activity is directed at staffing levels, with 50% of cardiovascular group practices reporting a reduction in staff in order to reduce expenses. In addition, 40% of respondents reduced staff benefits, while 45% reduced salaries for physicians and clinical staff. Three per cent of respondents retired or closed their practices altogether. Ten percent of survey respondents reported an increase in non-physician clinical support staff, but more than 2600 nurses, nurse practitioners, CV techs, and pharmacists, were laid off as a result of reimbursement cuts. At present, 60% of cardiology practices nationwide have already integrated or are planning to integrate into hospital systems. Wisconsin no longer has any private practice cardiologists in the state.
New ICD-9 Codes

Beginning in October, physicians will have 122 new ICD-9 diagnosis codes and 12 new procedure codes from which to choose for 2011. A large portion of the diagnosis codes are in the "V" code section, which describe a "supplementary classification of factors influencing health status and contact with health services," according to the ICD-9 manual. There are a few codes that will be added to the cardiology portion of ICD-9-CM. The lists, from CMS, also include codes that were revised and codes that will be invalid for 2011.
New Cardiology Codes are:

447.70 - Aortic ectasia, unspecified site
447.71 - Thoracic aortic ectasia
447.72 - Abdominal aortic ectasia
447.73 - Thoracoabdominal aortic ectasia

More information is available here.

Ohio-ACC Elections

Board of Trustees Election
Thank you to all who participated in the Ohio-ACC Board of Trustees Election. Congratulations to:

District 1 CCF Position - Michael B. Rocco, MD, FACC
District 1 CWRU/MetroHealth Position - Sanjay Gandhi, MD, FACC
District 2 - William R. Colyer, Jr., MD
District 3 - Kevin H. Silver, MD, FACC
District 4 - Kanny S. Grewal, MD, FACC
District 5 - Bryan White, MD, FACC
District 6 - Florence Rothenberg, MD, FACC

Cardiovascular Surgical Position - Michael Firstenberg, MD, FACC
Pediatric Cardiologist Position - Timothy M. Hoffman, MD, FACC


Special thanks to outgoing trustees:
Gerard J. Boyle, MD, FACC;
Grace N. Cater, MD, FACC; Jennifer E. Cummings, MD, FACC; A. Marc Gillinov, MD, FACC; Utpal Pandya, MD, FACC; and Robert Schweikert, MD, FACC.

Congratulations to Greg Underwood who has been appointed as the Practice Manager representative to the Board.

Governor & CCA Liaison Election
Polls open for the Ohio-ACC Governor and Cardiac Care Associate Liaison Election from October 16 - November 19. Watch your email for details.
Ohio Members Go to Washington, DC
Ohio ACC members headed to Washington, DC, for the 2010 ACC Legislative Conference September 12-14, 2010. Our 13-member delegation included physicians from private practice, hospital-based systems, fellows-in-training, nurse clinical care associates, and practice administrators. The conference brought together more than 300 ACC members from nearly every state to learn more about current issues facing the cardiovascular community.

After spending a day hearing from the head of CMS, members of Congress, and health policy experts, Ohio-ACC members went to Capitol Hill to meet with legislators and ask for their support for issues affecting Ohio cardiology practices. The delegation asked for repeal of the flawed SGR formula, which is scheduled to enact a 23.5% cut December 1st and an additional 6.5% cut January 1st. We are likely to get another "patch". Although we supported some aspects of the new health care bill, we are opposed to the Independent Payment Advisory Board which targets physician reimbursement as a means of controlling Medicare costs. Cardiologists are dismayed by the lack of tort reform in the new legislation. We are concerned about drug safety and urged additional support for the FDA for drug monitoring.
See the photos and read the first-hand accounts.
What Have We Been up to?
The Ohio-ACC has been busy! Take a moment to see all of the things we have been doing.