2022 NCCRA Symposium Save The Dates

Save the dates!!
The NCCRA Annual Symposium will be virtual again this year.
Please hold the afternoons of March 29th and April 5th from 12:30-5pm.
More details to follow soon!

Don’t be surprised by “No Surprise Act” that goes into effect 1/1/2022

Starting January 1, 2022, consumers will have new billing protections when getting emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers. Through new rules aimed to protect consumers, excessive out-of-pocket costs will be restricted, and emergency services must continue to be covered without any prior authorization, and regardless of whether or not a provider or facility is in-network.

Currently, if consumers have health coverage and get care from an out-of-network provider, their health plan usually won’t cover the entire out-of-network cost. This could leave them with higher costs than if they’d been seen by an in-network provider. This is especially common in an emergency situation, where consumers might not be able to choose the provider. Even if a consumer goes to an in-network hospital, they might get care from out-of-network providers at that facility.

In many cases, today the out-of-network provider can bill consumers for the difference between the charges the provider bills, and the amount paid by the consumer’s health plan. This is known as balance billing. An unexpected balance bill is called a surprise bill.

The Consolidated Appropriations Act of 2021 was enacted on December 27, 2020 and contains many provisions to help protect consumers from surprise bills starting in 2022, including the No Surprises Act under title I and Transparency under title II. Learn more about protections for consumersunderstanding costs in advance to avoid surprise bills, and what happens when payment disagreements arise after receiving medical care.

https://www.cms.gov/nosurprises

If you haven’t heard about it’s impact on your department please check with your compliance or registration departments for more information.

 

Day on the Hill 2022

Day on the Hill 2022 will be held virtually again and the future of the bills related to cardiopulmonary rehab is depending on your participation.
How does it work? Take a look at the map below and find out what district your program is located in. Email Stacey Greenway (stacey.greenway@vidanthealth.com) and let her know what district you represent and that you are willing to be on a Webex call with your Congress person in March.
Prior to the call you will be prepped on talking points plus you will be partnered with other NCCRA representatives that will be there during the scheduled call as well.
Why is your participation important? Congressmen/women want to hear from their constituents! Our goal is to have at least one constituent from each district on every call we make!
Let’s do this North Carolina!

NCCRA Member Survey – your input is requested

Your NCCRA Membership Committee is writing to let you know about an opportunity to share your insight in a short survey about North Carolina Cardiopulmonary Rehabilitation Association (NCCRA) member benefits. As a Cardiac and/or Pulmonary staff member, you have earned the chance to participate in this survey being conducted by NCCRA. Your responses will be invaluable for getting staff and programs across the state more support in the future, as well as helping NCCRA improve member benefits. We want to help support you while you continue to provide quality care and services to patients throughout North Carolina. The survey is anonymous.

Your input will be most helpful if received by December 20, 2021. We are looking for feedback across all disciplines. You have hopefully received an email from your program’s director or manager.  You’ll also likely get a second email from your Regional Vice President. They have been asked to share the survey link as well to ensure we can reach as many staff members as possible.

 

If you don’t receive an email, please let your region’s contact person or your manager know and they can get it to you.

Mountain region: Beth Ann Scott    bascott@apprhs.org

Coastal region: Jeff Soukup    jeff.soukup@nhrmc.org

Piedmont region: Bridget Way (fill-in)   lighthouse0424@gmail.com

 

We know your time is valuable and we greatly appreciate your assistance.

It’s time to act and we need everyone’s involvement in October

It’s time to act and we need everyone’s involvement!
A simple phone call can secure the future of Cardiopulmonary Rehab for your program or other programs in your state.
The more calls that a House member receives, the higher the chances that we will have this bill move forward this year. Everyone’s input helps.
You can use this script to make it easier:
Converse With Your U.S. Representatives Over the Phone
A brief phone call to your US Representative’s DC office is also very powerful to express your support for HR 3348 and HR 1956.
It is a very simple message:
Share your name, where you live and where you work
Ask for support of these two bills
HR 3348 to allow adequate reimbursement for ALL cardiac and pulmonary rehab programs, whether on or off campus,
HR 1956 to increase access to cardiac and pulmonary rehab programs by allowing non-physician practitioners to order and supervise these services beginning in January 2022.
Explain why both bills are important to you
HR 1956 increases access beginning in 2022 to medically directed, life-saving cardiac and pulmonary rehabilitation programs by reducing delay to enrollment and allowing professional practitioners to order and supervise these services. The Access to Quality Cardiac Rehabilitation Care Act of 2021 simply moves up the enactment date from 2024 so people can get started with the life-saving treatment they need now.
HR3348 will allow program locations that are more accessible to patients and offer larger capacity to provide these services to more patients
Contact stacey.greenway@vidanthealth.com or 52-847-9146 to find out the direct number to your representative’s office.
Are you in district 1, 8 or 13 your involvement is especially important because Rep Butterfield, Hudson and Budd serve on committees that are important to this process?
12 Adams, Alma (202) 225-1510
9 Bishop, Dan 202-225-1976
13 Budd, Ted 202-225-4531
1 Butterfield, G.K. (202) 225-3101
5 Foxx, Virigina 202-225-2071
8 Hudson, Richard 202-225-3715
3 Murphy, Greg (202) 225-3415
10 McHenry, Patrick (202) 225-2576
4 Price, David 202-225-1784
7 Rouzer, David 202-225-2731
2 Ross, Deborah (202) 225-3032
6 Manning, Kathy (202) 225-3065
11 Cawthorn, Madison (202) 225-6401

Upcoming educational opportunities through AACVPR

There are some great educational opportunities presented through AACVPR that we don’t want you to miss!

Delivering Effective Patient Education In On-Site and Virtual Cardiac Rehabilitation

Thursday, September 16 | 12 p.m. – 1 p.m. CT | Virtual

Presented By: Crystal Aultman, MSc, R.Kin, OCT; Gabriela Melo Ghisi, PhD, PT; Paul Oh, MD, MScm FRCPC, FACP; Melissa Yan, MPH

You’re invited! In just two days, you have the opportunity to learn from Crystal Aultman, Gabriela Melo Ghisi, Paul Oh and Melissa Yan during their one-hour webinar: “Delivering Effective Patient Education In On-site and Virtual Cardiac Rehabilitation.” Throughout the presentation, these seasoned experts will familiarize you with the success of Toronto Rehab’s new virtual cardiac rehabilitation model and give you strategies for delivering virtual education. Set yourself up for success – register today.

By the end of this webinar, you will be able to:

  • Describe the benefits of delivering patient education in cardiac rehab
  • List strategies for addressing low health literacy
  • Give examples of strategies for delivering effective onsite and virtual patient education

Fees: 
Members: Free
Nonmembers: $99.00

CEUs: 
AACVPR CE Credit: 1.0
ACSM CE Credit: 1.0
Nurse CE Credit: 1.0

 

Don’t Let Your Patients Puff Their Lives Away

Comprehensive tobacco treatment is a critical component of the clinical care for individuals with or at risk for cardio/pulmonary disease, as well as peripheral arterial disease (PAD). As part of our partnership with the Centers for Disease Control and Prevention (CDC) on the Tips From Former Smokers® (Tips®) campaign, we are bringing you an eight-part series that will explore the latest approaches to tobacco treatment within the rehab setting. Join the fight and help your patients put down the light – check out this series today!

In addition to continuing education credits, participants will walk away from this series with the ability to:

  • Identify chemical and physiological consequences of tobacco use and the mechanism of addiction in the brain
  • Discuss the principles of the ACC Expert Consensus Decision Pathway on Tobacco Cessation Treatment
  • Describe possible detrimental effects of E-cigarettes, vaping, hookah, and other new electronic devices
  • Explore researched-based pharmacological interventions used in successful tobacco cessation
  • Utilize assessment tools in taking a tobacco history from patients
  • Discuss the key components of operationalizing a tobacco treatment program, within a variety of rehabilitation settings
  • Participate in role play exercises centered around behavioral strategies, motivational interviewing techniques, communication skills, and coaching strategies to utilize with cardiac, pulmonary, and PAD patients in tobacco treatment, relapse prevention, and successful cessation

Fees: 
Members: Free
Nonmember: $375.00

CEU Credits:  3.5

 

 

 

Updates on the DHHS Cardiac Rehab license renewal process

 

If you are looking for your email from DHHS about your Cardiac rehab license renewal please see the latest information that we received:

“Cardiac Rehab has been delayed until the end of September.  Hopefully, if all continues to go well – we should have the online renewals ready for you at that time.”

 

AHRQ TAKEheart cardiac rehabilitation initiative

The American Hospital Association (AHA) is actively recruiting hospitals and health systems to join the AHRQ TAKEheart cardiac rehabilitation initiative. This national initiative provides individualized technical assistance, coaching, and step-by-step training on implementing automatic referral with care coordination – a proven means of increasing cardiac rehabilitation among eligible patients. The next cohort for the TAKEheart initiative is anticipated to begin in late October 2021, and resources will be provided to participating hospitals at no cost.

To learn more about TAKEheart visit: https://www.aha.org/center/takeheart.

To join TAKEheart, complete a short application by September 15, 2021.

TAKEheart Partner Hospital FAQ_8.5.2021_FINAL

TAKEheart Program Overview_FINAL_07.21.2021

NC Medicaid Managed Care plans and NCCRA

As you may be aware the NC Medicaid Managed Care plans kicked off on July 1st.  We wanted to share some information about cardiovascular and pulmonary rehab coverage for these plans but encouraged you to contact your business office regarding your organizations participation with each plan.

In contacting United Healthcare Community Care for a patient we were told that both Cardiac (93797/93798)  and Pulmonary Rehabilitation (G0424/G0239) allow up to 15 sessions of therapy and no pre-authorization was needed.

In contacting Healthy Blue we were told that Cardiac rehabilitation must be pre-authorized and that we could suggested the number of therapy sessions we think are needed and that Clinical Review would either except or indicate the number of sessions allowed.  We were told there is no coverage for Pulmonary or Respiratory therapy.

In contacting WellCare we were told that Cardiac Rehabilitation(93797 and 93798) and Pulmonary Rehabilitation must be pre-authorized but Respiratory Therapy (G0239) did not require pre-authorization.

In contacting AmeriHealth Caritas they tell us that Cardiac Rehabilitation(93797/93798) does not require pre-authorization for participating providers but would require pre-authorization for non-participating providers. They could find no information for either Pulmonary Rehabilitation (G0424) or Respiratory Therapy (G0239) and suggested that those services would require pre-authorization.

We did not check with Carolina Complete Health or EBCI Tribal Option.

And NC Medicaid Direct is continuing with the traditional plan as it has been.

Below is are the links to the Health Plans.

https://ncmedicaidplans.gov/learn/get-answers

Health plans
For health plan questions, or to learn more about covered services, contact the health plan.

WellCare
wellcare.com/NC
This health plan is offered statewide.

UnitedHealthcare Community Plan
uhccommunityplan.com/nc
This health plan is offered statewide.

Healthy Blue
HealthyBlueNC.com
This health plan is offered statewide.

AmeriHealth Caritas
amerihealthcaritasnc.com
This health plan is offered statewide.

Carolina Complete Health
carolinacompletehealth.com
Carolina Complete Health is a provider-led entity offered to people who live in these counties: Alamance, Alexander, Anson, Bladen, Brunswick, Cabarrus, Caswell, Catawba, Chatham, Cleveland, Columbus, Cumberland, Durham, Franklin, Gaston, Granville, Harnett, Hoke, Iredell, Johnston, Lee, Lincoln, Mecklenburg, Montgomery, Moore, Nash, New Hanover, Orange, Pender, Person, Richmond, Robeson, Rowan, Sampson, Scotland, Stanly, Union, Vance, Wake, Warren, Wilson.

The Eastern Band of Cherokee Indians (EBCI) Tribal Option
EBCITribalOption.com
The EBCI Tribal Option is for federally recognized tribal members or others who qualify for services through Indian Health Service (IHS) and live in Cherokee, Haywood, Graham, Jackson or Swain County or in a neighboring county of the 5-county region. As a member of the EBCI Tribal Option, you can still get services from any Medicaid or NC Health Choice provider.

NC Medicaid Direct
bit.ly/NCBeneficiaryPortal
NC Medicaid Direct is for members who qualify.

New DHSR recertification process

Have you received your letter?  DHSR certification renewal will be available electronically!  Make sure you review your letter and directions so you meet the first deadline of this new process which is August 13th!

 

New DHSR certification renewal