Cardiology Question for the Week of April 15, 2024

Question:

What are some of the key MPFS reimbursement policies in 2024 that are pertinent to cardiology?

Answer:

Some of the polices contained in the PFS final rule that impact cardiology consist of the following:

• Teaching physicians to use audio-visual real-time communications technology
• In-home vaccination payment
• (COVID-19, pneumococcal, influenza, and hepatitis B)
• Coverage of dental services linked to other covered services
• Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging Program
• Continuation of allowance for teaching physicians to use audio-visual real-time communications technology to be present with residents
• Continuation of additional payment for in-home COVID-19 vaccination, extension of benefit to pneumococcal, influenza, and hepatitis B.
• Coverage of dental services in the inpatient and outpatient setting when the exams are inextricably linked to other covered services, like organ transplants, cardiac valve replacements, and valuloplasty procedures.
• Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging Program: Program implementation is paused, no date for resumption.

This question was answered in our annual Cardiology Reimbursement & Compliance Update webcast. For more hot topics relating to cardiology services, please visit our store or call us at 1.800.252.1578, ext. 2.