January 2010

Physicians are under constant pressure to provide quality care using the latest evidence-based medicine, reduce overhead costs amidst declining reimbursements and remain competitive with the latest technologies. Cardiovascular Business invited a group of interventional and diagnostic cardiologists to discuss the latest practice and imaging trends that support a busy cath lab.

The field of electrophysiology is increasingly moving toward performing more and more complex cardiac arrhythmia procedures. These procedures, which can last up to four hours, demand steady hands, a sturdy back and great concentration.

The cuts to cardiology payment planned by the Centers for Medicare & Medicaid Services (CMS), as part of the final 2010 Physician Fee Schedule, are bad public policy. Not only that, but they represent a grave threat to cardiology practices and patient access.

Recent clinical data have begun to clearly define when to implant cardiac rhythm devices and which patients will benefit the most from them.

Adoption of EMRs goes hand-in-hand with improved practice management strategies, gained either through software programs or organizational initiatives.

Technology, leadership and the willingness to be humble make this operation one of the best.

As the incidence of peripheral arterial disease (PAD) rises, endovascular interventions continue to gain wider acceptance. Yet, questions remain regarding which patients benefit most from atherectomy devices.

The smiles and lauds of Happy New Year are slowly being replaced by the droning realization that the reimbursement cuts in the 2010 Medicare Physician Fee Schedule are in full force. Its difficult to discuss any topic in cardiovascular medicine without contemplating the influence of these drastic cuts enacted by the Centers for Medicare & Medicaid Services (CMS)some as high as 40 percent.

Interventionalists Perspective Dr. Hall Administrators Perspective Mr. Stewart

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