• CLINICAL INTEREST SECTIONS: Coronary Peripheral TAVR Center

  • SCAI This Week
  • August 3, 2012

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    SCAI Efforts Lead to Adjusted Reimbursement for AAA Endovascular Grafts

    CMS released the Final Rule for the 2013 Inpatient Prospective Payment System (IPPS) on Wednesday.

    Following recommendations by SCAI in comments regarding the proposed IPPS rule, CMS has reassigned the fenestrated graft abdominal aortic aneurysm (AAA) endovascular repair code to a more appropriate DRG assignment, aligning hospital payment for these services with other endovascular graft procedures.

    "This is a real victory for patients. When hospitals are properly reimbursed for a procedure this allows new technologies, and patient access to them, to thrive," said Kamal Gupta, MD, FSCAI, associate professor in the division of cardiovascular diseases at University of Kansas Medical Center in Kansas City, KS.

    Dr. Gupta said this decision by CMS comes at an opportune time.

    "Fenestrated grafts have been in limited clinical use (mostly under the purview of clinical studies) for about a decade or more. However, they have an important role in treating patients with para-renal and also for thoraco-abdominal aortic aneurysms, especially those with significant co-morbidities. Newer fenestrated grafts are being developed and even 'off the shelf' devices may be available in the future," said Dr. Gupta, who is amongst approximately 10% of interventional cardiologists who perform AAA endovascular repairs.

    Regretfully, CMS did not heed SCAI's recommendation to reassign the mitral valve procedure code to more applicable valve procedure DRGs, electing to retain the mitral valve procedure code within DRGs including procedures such as balloon valvuloplasty and percutaneous transluminal coronary angioplasty (PTCA).

    SCAI believes these procedures are not similar in regards to intensity and resulting resource consumption and will continue to provide educational materials and guidance to CMS regarding the appropriate DRG assignment for transcatheter mitral valve procedures.

    2013 Inpatient Prospective Payment System (IPPS)

    SCAI Comments Submitted to CMS on the Proposed IPPS Rules

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    Society Survey Highlights Need for Dedicated SHD Training Programs

    New structural heart disease (SHD) interventions over the past decade are driving demand for advanced interventional cardiology training programs, but training in this specialized area remains in its infancy, according to new survey results released today by the Society for Cardiovascular Angiography and Interventions (SCAI)'s Structural Heart Disease Early Career Task Force and e-published in Catheterization & Cardiovascular Interventions. The survey found that while the majority of interventional cardiology training programs involve structural interventions – such as transcatheter aortic valve replacement, pulmonic valve implantation and mitral valve repair – few offer dedicated SHD fellowships.

    "Structural heart disease care has changed significantly in recent years, and new treatments require specialized training on complex interventions," said Mehmet Cilingiroglu, MD, FSCAI, associate professor of medicine at the University of Pittsburgh Medical Center Heart and Vascular Institute in Pennsylvania and an author of the paper. "Our survey found SHD training remains in its early stages. As we advance care for patients, it's essential that we establish structured training programs with standardized requirements that can help new interventional cardiologists build their skills in this important area."

    More Results from this Survey of 50 Interventional Training Programs

    Download the Full Document in Catheterization & Cardiovascular Interventions

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    SCAI-QIT Webinar to Unveil All-New Physician Decision-Making Tools

    Need another reason to be sure to attend the SCAI-QIT Webinar on Diagnostic Catheterization AUC on August 15?

    Here's one. SCAI has announced that it will also be unveiling the Elective Right Heart Catheterization Form and the Coronary Angiography / Left Heart Catheterization Form as new tools to aid physician decision-making.

    Perhaps even more important, webinar attendees will learn how to effectively use these new tools. Both forms are based on the recently released ACCF/SCAI/AATS/ACCP/ACP/AHA/ASE/ASNC/HFSA/ HRS/SCCM/SCCT/SCMR/STS 2012 Appropriate Use Criteria for Diagnostic Catheterization.

    RSVP For the Webinar Now

    Download the Diagnostic Catheterization AUC Document

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    Registration and Hotel Deadlines Quickly Approaching for TRIP Chicago

    The deadline to take advantage of the advance registration discount for SCAI's Transradial Interventional Program (TRIP) Chicago is quickly approaching. Register by Friday, August 10 and save!

    This will be followed by the August 17 deadline to take advantage of the discounted room rate at The Westin Chicago River North.

    Led by Program Co-chairs Sunil V. Rao, MD, FSCAI and Samir B. Pancholy, MD, FSCAI, the faculty consists of some of the most highly trained and well respected transradial experts in Chicago, including Sandeep Nathan, MD, FSCAI, Adhir Shroff, MD, FSCAI, and Bernadette Speiser, BSN, MSN, CCRN.

    TRIP Chicago will offer a dynamic mix of didactic lectures, a nurse/tech symposium, case reviews and one-on-one structured simulation training.

    Don't Wait - REGISTER NOW

    Information on Hotel Accommodations

    View the Agenda

    Find Out More About the Structured Simulator Curriculum

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    High-Risk PCI Online Curriculum Latest Addition to e-Learning Library

    SCAI's catalog of eLearning opportunities has expanded with the recent launch of the High-Risk Percutaneous Coronary Intervention (PCI) online course. Featuring an engaging combination of didactic presentations and case studies, the High-Risk PCI program fulfills members' requests for additional information about this critical area of interventional cardiology practice.

    This online course is designed to provide core education to physicians regardless of their experience level in this growing and changing area of interventional cardiology. In addition to covering case selection and management, the curriculum also covers device selection strategy as well as hemodynamics of such procedures. Led by Course Director Robert Applegate, MD, FSCAI, the program is presented by a world-class faculty representing leaders within the field.

    The High Risk PCI course is provided via an educational grant from Abiomed and is available to all fellows-in-training and practicing interventional cardiologists to access for free. In order to claim CME hours users can purchase individual modules or the full program. Each module is worth 1 CME hour and can be purchased for $20 by SCAI members. The full 8 CME hour program is $150 for members.

    Access SCAI's High-Risk PCI Online Curriculum

    Visit SCAI's eLearning Library

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