Advocacy in Action | Heart Rhythm Society

Advocacy in Action

Advocating for heart rhythm professionals practicing in a rapidly evolving healthcare environment

Advocacy in Action provides monthly updates on new or recent legislative, regulatory, payment, and coverage policy changes, HRS advocacy efforts, and other crucial information that may impact the practice of EP in the U.S.

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CMS Releases Medicare Physician Fee Schedule Proposed Rule for CY 2024

Regulatory Updates

July 13, 2023 - The Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) proposed rule and updates to the Quality Payment Program (QPP) for calendar year (CY) 2024. Most notable for CY 2024 are CMS’ proposals to adopt HRS and RUC-recommended relative value units (RVUs) for implantation and programming of a phrenic nerve stimulation system, and remote monitoring of implantable cardiac rhythm devices. HRS will prepare comments in support of these and other proposals by the September 11, 2023, submission deadline.

HRS Urges CMS to Clarify NCD Shared Decision-Making Requirement for LAAC


June 29, 2023 - The Heart Rhythm Society, the Society for Cardiovascular Angiography and Interventions (SCAI), and the American College of Cardiology (ACC) sent a letter to the Centers for Medicare & Medicaid Services (CMS) regarding misinterpretation of the National Coverage Determination (NCD) shared decision-making requirement for percutaneous left atrial appendage closure (LAAC).

The Beat Episode 9: Understanding the Evolution of the Centers for Medicare & Medicaid Services Now Available on Demand


June 15, 2023 - On June 15th, the HRS Health Policy and Regulatory Affairs Committee, in collaboration with the Digital Education Committee, presented a live webinar (Episode 9) of The Beat, Understanding the Evolution of the Centers for Medicare & Medicaid Services. The episode, moderated by Sandeep A Saha, MD, MS, FHRS and David J. Slotwiner, MD, FHRS, examines the expanding federal health insurance benefits, beginning with the introduction of Medicare and Medicaid in 1965, and the federal structure for administering these programs and their associated policies.

MedPAC and MACPAC Release June Reports to Congress

Legislative Updates

June 29, 2023 - The Medicare Payment Advisory Commission (MedPAC) has released its June 2023 report to the Congress on Medicare and the Health Care Delivery System. On June 15th, the Medicaid and CHIP Payment and Access Commission (MACPAC) also released its June 2023 report, which includes a chapter on payment policy for safety net hospitals, recommending the creation of automatic adjustments to disproportionate share hospital (DSH) payments.