News this week of April 15th – NCCRA Program directory and a retired LCD

The program directory on the website is slowly being updated with the information that was shared at the symposium. Thank you to everyone who participated! If you were not in attendance or did not complete the program directory updates form we still would love to hear from you. Please complete the form and email it to info@nccraonline.org. CR-PR program directory information

On 4/5/2019 Palmetto retired the Cardiac rehab LCD “due to existing NCD, statutes, and extensive manual coverage definitions.” https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=34412&ContrId=378&ver=50&ContrVer=1&CntrctrSelected=378*1&Cntrctr=378&name=&DocType=3&LCntrctr=378*1%7c379*1%7c380*1%7c381*1&bc=AgACAAQAAAAA&

The Respiratory therapy LCD has not changed.

Discipline Meeting notes from the symposium

Nursing discipline meeting
Chair: Lisa Warren
NCCRA Nursing Discipline 2019

Exercise discipline meeting
Chair: Angela Lanier
NCCRA Exercise Discipline Meeting 2019

Nutrition Discipline Meeting
Chair: Judith Hinderliter
Nutrition Discipline Meeting 2019

Slides for the Symposium

We are adding slides as we receive them. We can’t wait to see you!

So You Think You Can Dance? Empowering the Patient to Take the Lead empowering the vascular patient k smith final 2018

Practical Business Knowledge in CP Rehab NCCRA Financial Presentation – 04 05 19

Creating a Culture of Patient Voice North Carolna CVPR April 2019 4-3

ACSM Heart Games
https://www.acsm.org/attend-connect/events-and-conferences/event-detail/2019/06/07/default-calendar/acsm-world-heart-games

Generational Differences Generational Differences. 2 hr. Webinar (002)

AACVPR Value Based Care Update
2019 VBC for Affiliates

Program Spotlight

Chatham Hospital Cardiac and Pulmonary Rehabilitation

Chatham Hospital Cardiac and Pulmonary Rehabilitation
163 Medical Park Dr, Suite 120
Siler City, NC 27344

Contact: Debbie Scotten
Email: Debbie.Scotten@chathamhospital.org
Phone: (919) -799-4650
Fax: (919) 799-4651

Our program is located in  rural NC  and operate through a critical access hospital (25 bed facility).  Our hospital does not provide invasive cardiac procedures therefore very few heart patients are served in the inpatient setting.  Our Cardiac Rehab referrals are 99% from the surrounding Medical Centers such as UNC Chapel Hill, Moses Cone, and Pinehurst.  We are located  in the a Medical Office Building behind Chatham Hospital.  We are limited in the number of classes due to MD supervision so we only operate on Monday, Wednesday, and Thursdays from 7:30 AM to 12 Noon.  We see an average of 30 patients per day and have 1 FTE- program director which also serves as the program EP and FT nurse,  3 part time nurses, 1 RD 12 hours per month , and a Social Worker who works 4 hours per month.    We have 2 staff that are CCRP and we currently are AACVPR certified. 

LCD draft for Cardiac Rehab effective 2/5/2019

Have you seen the recent draft of the Cardiac Rehab LCD?

LCD for cardiac rehab effective 2-2019

Reversing the Cardiac Effects of Sedentary Aging in Middle Age—A Randomized Controlled Trial Implications For Heart Failure Prevention

https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.117.030617?fbclid=IwAR3xEfFwooltAReCbjRkXdGv56wgFHtKtduD1IWyGB-YQExq-cCGmrp3m8M

Coastal Regional Meeting

We had a great meeting for the Coastal Region on Friday, October 19th.  Attached are some of the power point presentations from that meeting.

AACVPR – National Conference Update 2018
Pulmonary

 

Million Hearts Initiative

AACVPR has teamed up with the CDC and Million Hearts to focus on increasing cardiac rehab referral and participation by eligible patients.  They have developed some wonderful tools that all of us can use.  Check it out!

https://millionhearts.hhs.gov/tools-protocols/tools/cardiac-rehabilitation.html

Reimbursement information

Just a few pieces of information that you might find helpful:

As you may be aware Palmetto released a Draft LCD for Supervised Exercise training.  Both the NCCRA and AACVPR MAC committee gave input on this draft but the future LCD is now available for your review:  https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=37774&ContrId=381&ver=4&ContrVer=1&CntrctrSelected=381*1&Cntrctr=381&name=&DocType=Future%7cAllProposed&s=34%7c48%7c53%7c58&bc=AAAAAAQAAAAA&
It is effective for services performed on or after 11/19/2018.

The Office of the Inspector General  (OIG) recently examined appeals and denials of Medicare Advantage  and found that MAOs overturned 75% of their own denials during 2014-2016. Furthermore, independent reviewers at higher levels of the appeals process overturned additional denials in favor of beneficiaries and providers.   This is highly unusual because beneficiaries and providers rarely use the appeals process, which is designed to ensure access to care and payment. The report recommends that CMS (1) enhance its oversight of MAO contracts including those with extremely high overturn rates and/or low appeal rates and take corrective action as appropriate; (2) address persistent problems related to inappropriate denials and insufficient denial letters in Medicare Advantage; and (3) provide beneficiaries with clear, easily accessible information about serious violations by MAOs. CMS concurred with all three recommendations.  For more information you can go to http://oig.hhs.gov/oei/reports/oei-09-16-00410.asp

Cardiac and Pulmonary rehab also remains on the OIG work plan.  Previous OIG work identified outpatient cardiac and pulmonary rehabilitation service claims that did not comply with Federal requirements. They will assess whether Medicare payments for outpatient cardiac and pulmonary rehabilitation services were allowable in accordance with Medicare requirements. They will also determine whether potential risks in outpatient cardiac and pulmonary rehabilitation programs continue to exist.  https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000292.asp

If you are not familiar with the previous OIG work here is the report:  OIG audit of Englewood hosp

 

 

 

Piedmont Region Fall Meeting

Thank you to everyone that came out to the Piedmont Region Fall Meeting.  Here are the slides for those that weren’t able to attend:

2018 Introduction
Cardiac Rehabilitation – Jan Wagoner and John Pasquini
PAD – Carl King
Pulmonary CSI – Kim Clark