• January 3, 2013

    In This Issue:





    Fiscal Cliff Deal Averts 27% SGR Cuts, But Other Cuts Will Impact IC's


    A bipartisan fiscal cliff deal has averted 27 percent across-the-board cuts for all Medicare procedures by "patching" the Sustainable Growth Rate (SGR) for another year.


    It is important to note that this SGR patch will be partially paid for by reducing payments for high-technology imaging in physician offices (expected to include CT, MRI and PET) and by allowing the U.S. Department of Health and Human Services Office of Inspector General (OIG) to go 2 extra years into the past to collect overpayments. The OIG will now be permitted to go back five years to collect overpayments. Other cuts were made in hospital payments and payments to Medicare Advantage plans.


    While these dramatic SGR cuts have been averted for a year, fee schedule changes for 2013 (including cuts in PCI procedures) will still go into effect. Please visit SCAI.org for a look at how fees for some top invasive and interventional procedures will be affected. Additionally, possible cuts of about 2 percent due to sequestration have only been delayed by two months; SCAI does not expect a final decision about those cuts until at least the end of February.

    A Look at How Top Interventional and Invasive Fees Will Be Affected in 2013

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    SCAI Cautions CMS on Negative Consequences of 2013 MPFS Final Rule

    In its final advocacy efforts of 2012, SCAI submitted harsh comments to CMS regarding the 2013 Medicare Physician Fee Schedule Final Rule, cautioning CMS about the potential unintended consequences resulting from the continued erosion of values for interventional cardiology procedures. 

    In these comments the Society points out, “This unpredictability in reimbursement levels is leading to the inability of our members’ practices to make effective decisions involving staffing, equipment purchasing/upgrading and investments in training. We are seeing a mass exodus of interventional cardiologist being forced out of private practice; shifting from independent private practices structures to hospital employment. There is much concern and angst about the unintended consequences this shifting is having and may have in the future in regards to quality and access to the life-saving procedures that interventional cardiologists provide to their patients.” 

    SCAI also shared preliminary results from its recent all-member survey examining the potential impact that the reduction in PCI values may have, showing that 72 percent of members assert ongoing cuts to Medicare are likely or very likely to lead to rationing of care.

    Read the Comments Submitted to CMS

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    Don't Miss It! SCAI 2012 On Demand Still Available Through April

    Did you miss SCAI 2012 Scientific Sessions?

    Or were there concurrent sessions you were unable to attend?

    You can still catch up on all the science presented in Las Vegas with SCAI 2012 On Demand, offering you a year of 24/7 access to content presented at the Best of the Best in Interventional Cardiology Education.

    Featuring a combination of presentation slides linked with audio as well as streaming video of live and taped cases, SCAI 2012 On Demand is a great tool to use to train staff as well as expose colleagues to SCAI education.

    With tuition starting at just $99 for SCAI 2012 attendees, this is an educational opportunity you can't miss!

    Find Out More About SCAI 2012 On Demand

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    Looking for a Guideline Document? Visit www.SCAI.org/Guidelines

    Looking for a guideline or expert consensus document? Be sure to visit SCAI's Clinical Guidelines and Resources Page at www.SCAI.org/Guidelines. The page lists guidelines and other documents that either have been developed by SCAI, or have been jointly produced, collaborated with, or endorsed by the Society. This includes recent guidelines and documents on PCI, transradial coronary and peripheral interventions, and more.

    Again, Simply Visit and Bookmark www.SCAI.org/Guidelines

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    This Close... How You Can Help SCAI Reach 1,200 Followers on Twitter

    SCAI's Twitter account @SCAI is quickly nearing 1,200 followers.

    Let's keep the momentum going. If you have a Twitter account, be sure to follow us @SCAI. If you tweet, please be sure to mention #SCAI programs or retweet @SCAI messages.

    Need something to promote to your patients? SCAI's @SECONDSCOUNTORG Twitter account is a great resource for your patients with the latest news and updates from SCAI's Patient Education Resource, www.SecondsCount.org.

    Spread the Word About #SCAI

    Want to share your favorite SCAI program with others? Perhaps it is SCAI-QIT, SCAI 2013, WIN, SCAI's eLearning Library, etc. Let the Twitter universe know about these programs and don't forget to use the hashtag #SCAI

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    CCI: Early View Content Includes Radiation Protection System, More

    In order to get critical information to members as soon as possible, SCAI's official journal Catheterization & Cardiovascular Interventions (CCI) offers accepted manuscripts online in its Early View Section prior to inclusion of that manuscript in a print issue.

    The following Early View article is now available online - just log in at www.SCAI.org:

    Coronary Artery Disease

    Original Studies


    A novel complete radiation protection system eliminates physician radiation exposure and leaded aprons
    Peter Fattal and James A. Goldstein
    Article first published online: 21 DEC 2012 | DOI: 10.1002/ccd.24625
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Percutaneous revascularization improves outcomes in patients with prior coronary artery bypass surgery
    Gabor Gyenes, Colleen M. Norris and Michelle M. Graham, for the APPROACH Investigators
    Article first published online: 3 DEC 2012 | DOI: 10.1002/ccd.24711
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Comparison of 3-year clinical outcomes between classic crush and modified mini-crush technique in coronary bifurcation lesions
    Hyoung-Mo Yang, Seung-Jea Tahk, So-Yeon Choi, Myeong-Ho Yoon, Hong-Seok Lim, Byoung-Joo Choi, Seong-Ill Woo, Dai-Yeol Joe, Kyoung-Woo Seo, Xiong Jie Jin, Jin-Woo Kim, Gyo-Seung Hwang and Joon-Han Shin
    Article first published online: 3 DEC 2012 | DOI: 10.1002/ccd.24634
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Comparable clinical safety and efficacy of biodegradable versus durable polymer paclitaxel eluting stents despite shorter dual antiplatelet therapy: Insights from a multicenter, propensity score-matched registry
    Piotr P. Buszman, Bartlomiej Orlik, Blazej Trela, Krzysztof Milewski, Michal Kozlowski, Maciej Pruski Jr., Janusz Drzewiecki, Athanasios Peppas, Juan F. Granada, Greg L. Kaluza and Pawel E. Buszman
    Article first published online: 3 DEC 2012 | DOI: 10.1002/ccd.24732
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Peripheral Vascular Disease

    Featured Case Reports


    Transulnar carotid artery stent placement
    Hsiu-Yu Fang, Yan Wang, Jiang-Tao Zheng and Chiung-Jen Wu
    Article first published online: 21 DEC 2012 | DOI: 10.1002/ccd.22634
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Pediatric and Congenital Heart Disease

    Original Studies


    Patent ductus arteriosus closure using the amplatzer® vascular plug II for all anatomic variants
    Jeffrey W. Delaney and Scott E. Fletcher
    Article first published online: 6 DEC 2012 | DOI: 10.1002/ccd.24707
    ABSTRACT | Members CLICK HERE to Access Full Issue

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