The Pennsylvania Chapter of the American College of Cardiology recognizes the importance of identifying solutions to improve members' daily practice operations. Working together, the National ACC Payer Advocacy Department, PaACC Leadership, PaACC Payer Relations Committee, and in some cases, the Pennsylvania Medical Society, can help resolve medical policy and reimbursement disputes, and advocate for change in healthcare policy that impacts our membership. If you have a concern with a payer, please complete our Payer Hassle Form. You will receive confirmation of receipt within 5 business days.
(11/14/11) Do You Want to Have a Policy Maker Visit Your Practice?
If so, a Cardiovascular Care Tour is an opportunity for patients, government officials and health plan representatives to witness first-hand how cardiovascular specialists provide patients with quality, cost-efficient care by employing state of the art technology, health care data and professional training through a team approach. Most importantly, attendees witness first-hand the dedication and compassion cardiovascular specialist devote to their patients daily.
ACC staff has all the materials – invitation letters and sample meeting agendas – to help organize a tour at your practice. We will work with you to create a successful event. If you would like to host a Cardiovascular Care Tour at your practice or for more information, please contact Saiza Elayda, ACC State Advocacy, at seladya@acc.org.
(04/18/11) Medicare Medical Policy Review/Comments:
Medicare Local Coverage Determination (LCD) DL27520 – Real Time, Outpatient Cardiac Monitoring.
Highmark BCBS Radiology Management Program Update
(04/11/11) Highmark BCBS:
(01/06/11) For Reference: ACC Appropriate Use Criteria Documents:
(12/09/10) Highmark BCBS:
(11/05/10) Highmark BCBS:
(09/03/10) Highmark BCBS:
(08/06/10) Highmark BCBS:
(06/2010) Highmark BCBS:
(5/24/10) Highmark BCBS: Starting Sept. 1, 2010, all outpatient, non-emergency imaging procedures (nuclear cardiology and stress echocardiography) will require prior authorization.
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