New Shared Decision Making requirements for ICD reimbursement

Watch ACC/HRS Leaders Discuss New CMS ICD Policy and Shared Decision-Making Requirement. The Centers for Medicare and Medicaid Services (CMS) recently released a final policy decision updating the national coverage determination (NCD) governing implantable cardioverter-defibrillator (ICD) implantation for Medicare fee-for-service patients.

The policy includes a requirement for a shared decision making encounter for four of the six covered indications for ICD implantation. Learn more about the policy and new requirement, including a case study of a shared decision-making tool used at the VA Eastern Colorado Health Care System, in a joint ACC and Heart Rhythm Society (HRS) webinar.

View the webinar here: ow.ly/eyH030iOotS

TAVR Decision Aid Tools Now Available

The ACC’s CardioSmart Decision Aids hub recently expanded to include two new TAVR Decision Aid Tools that help patients understand what aortic stenosis (AS) is and what treatments are available. The first tool guides patients with intermediate or high surgical risk through the treatment options available for severe AS and helps them choose between TAVR and surgery. The second tool is dedicated to patients with prohibitive surgical risk/inoperable to help them evaluate the proper treatment and choose between TAVR and symptoms management. Visit CardioSmart.org/Decisions to find out more and download these tools for free.

Help Solve Prior Authorization Challenges

November is here and that means it’s time to submit your prior authorization data via ACC’s web-based prior authorization tool (PARTool). Do your PART to improve the prior authorization process by recording incorrectly denied or difficult requests through ACC’s PARTool for the entire month. The data collected helps the College determine overall prior authorization and test substitution trends and better understand problematic areas of the process including time burdens, test substitution and peer-to-peer reviews. The observed trends will be shared with insurers, vendors, state legislators and insurance officials to engage them in ACC’s efforts to reduce the burden of prior authorization and return attention to direct patient interaction. Practices can submit through a simple online form at ACC.org/PARTool.

To be successful on a larger scale to solve prior authorization challenges – we must all work together to find a solution that ultimately saves time, saves money, and—most importantly—saves lives. So please help and do your PART!