CMS Reimbursement Updates: Cardiology Training Essentials for Ambulatory Surgery Centers

November 15, 2022
November 15, 2022
CMS Reimbursements Blog- surgical nurses at work

The number of procedures which may be performed in an ambulatory surgery center (ASC) continues to grow with cardiology being the fastest growing ASC specialty. CMS has recently added several procedures (including diagnostic and interventional coronary procedures, peripheral vascular interventions and the placement of pacemakers and defibrillators) to the Covered Procedures List (CPL). More are expected to be added going forward. In addition, cardiology is one of the specialties that will receive the highest Medicare payment increase in 2022. These new additions make it possible for patients to get these procedures safely, conveniently, and at a lower cost. 

In addition to the reimbursement changes, there are other industry indicators that make it clear that ASCs will see a great deal of growth in cardiology. Becker’s ASC Review reported some recent industry changes that point to a growing interest in cardiology in this setting including the opening of a new cardiovascular surgery center in Mississippi, a new partnership between Surgery Partners and ValueHealth to expand access to high value surgical care including a focus on cardiology’s migration to the outpatient setting and Aetna’s recent decision to begin covering cardiac PET/CT scans.

As more of these cases shift to an outpatient setting, how should ASCs prepare their staff to address these changes?

Preparing Your Staff – The Right Educational Solution

HealthStream and the Association of perioperative Registered Nurses (AORN) have courseware that can help prepare your staff to be part of a high performance OR team as the reimbursement and patient mix for ASCs continues to change. HealthStream is proud to be the exclusive partner of AORN. AORN’s Periop 202 is a standardized, evidence-based education that can prepare your periop staff for the kinds of cases they are likely to see more of in the coming months and years.

Cardiovascular procedures can be financially rewarding, but may also carry higher risk. It is important that your staff have access to high quality content that can prepare them for the unique challenges presented by these procedures.

AORN Periop 202 – Preparing Your Staff

The course provides 1.5 contact hours and includes an overview of adult cardiovascular procedures. The overview includes:

  • An anatomy review of the heart and vascular system
  • Nursing care for the patient
  • The role of the perioperative RN
  • Identification of potential complications
  • Standard and newer cardiovascular perioperative techniques
  • Cardiovascular interventions
  • Workflow examples

Students will also learn the various types of interventional and outpatient cardiovascular procedures as well as the common indicators for adults to undergo these procedures. It also covers the potential complications that may occur during these procedures and the appropriate responses to these complications. In addition, students will learn about operative positioning for adults undergoing cardiovascular procedures. They will also learn safe perioperative practices, including cardiac cath intraoperative care and electro-physiology intraoperative care. Additionally, the course covers optimal workflow solutions to ensure that perioperative professionals understand team performance in order to provide safe, effective and efficient care.

Be Confident In Your Training Solution

You can build staff and leadership confidence by using a Periop 202. AORN has created this standardized education with the input of subject matter experts including AORN nurses. In addition, there are customized medical illustrations and knowledge checks for each course section as well as a final course assessment.