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Why Does CMS Have it Out For Me? How to Make Sense of Reimbursement and Ensure We Change the Future of Downward Cuts
The 2023 CMS proposed physician fee schedule again saw a marked decrease in reimbursement for SVT, AF, and VT ablation. After the bundling of procedures in 2022 and the subsequent decrease in 2023, HRS members are confused and frustrated. Understanding the role of HRS and ACC advocacy in the AMA RUC process along with how CMS determines rates will be instrumental. Most importantly, defining what value in EP is will change the paradigm.
Learning Objectives
  • Explain the role of the AMA RVU Update Committee, and the representation from HRS and ACC along with other member groups.
  • Describe physician work RVU's historically (from last cycle in 2012) for ablation codes, and the entire process that led to the cuts in 2022 and 2023.
  • Discuss alternative value propositions in EP that must be explored in the future to change the narrative on reimbursement/ dealing with hospital administrators.
Session Chair(s)
Samuel Jones, MD, MPH
Jodie Hurwitz, MD
Advocacy From HRS and ACC: HRS Viewpoint
Presenter(s)Christopher F. Liu, MD

Understanding the AMA RUC Process
Presenter(s)David J. Slotwiner, MD

Advocacy from HRS and ACC: ACC Viewpoint
Presenter(s)Joseph E. Marine, MBA, MD

How EPs Should Think About Revenue When Talking to Hospital Administration
Presenter(s)Adam E. Berman, MD, MPH, MSci

Advocacy from HRS and ACC: Grassroots Viewpoint
Presenter(s)Dhanunjaya R. Lakkireddy, MD
Christopher Liu:
  • Biosense Webster, Inc. (Research (Contracted Grants for PIs and Named Investigators only))
David Slotwiner: Nothing Relevant to Disclose
Joseph Marine:
  • UpToDate, Inc. (Royalty Income)
Adam Berman: Nothing Relevant to Disclose
Dhanunjaya Lakkireddy:
  • Boston Scientific (Speakers' Bureau)
  • Biosense Webster, Inc. (Speakers' Bureau)
  • Abbott (Honoraria/Speaking/Consulting Fee)
  • Janssen Pharmaceuticals (Speakers' Bureau)
  • AtriCure, Inc. (Honoraria/Speaking/Consulting Fee)
  • Medtronic,Inc. (Honoraria/Speaking/Consulting Fee)
  • Philips (Honoraria/Speaking/Consulting Fee)

To view all Heart Rhythm 2023 Faculty Disclosures, please click here.
Education Framework
General Concepts
Communication Skills and Shared Decision Making
Diagnostic Testing
Invasive EP Testing
AFib and Flutter
Catheter Ablation - AF
Availability: On-Demand
Cost: FREE
Credit Offered:
No Credit Offered
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