ASE Advocacy Update: CMS Interoperability and Prior Authorization Final Rule

ASE has been working to fight prior authorization on behalf of our members and joined several coalitions, including the Alliance of Specialty Medicine, to advance this issue.  There has been progress with Centers for Medicare & Medicaid Services (CMS) action today! The CMS Interoperability and Prior Authorization Final Rule has been finalized. The rule sets requirements for Medicare Advantage (MA) organizations, Medicaid and the Children’s Health Insurance Program (CHIP) fee-for-service (FFS) programs, Medicaid managed care plans, CHIP managed care entities, and issuers of Qualified Health Plans (QHPs) offered on the Federally-Facilitated Exchanges (FFEs), to improve the electronic exchange of health information and prior authorization processes for medical items and services.  Most of these changes will take effect in 2026.

Please see the CMS press release for more information, https://www.cms.gov/newsroom/press-releases/cms-finalizes-rule-expand-access-health-information-and-improve-prior-authorization-process

The fact sheet for this final rule is available here: https://www.cms.gov/newsroom/fact-sheets/cms-interoperability-and-prior-authorization-final-rule-cms-0057-f

ASE Publishes Updated Guideline for Evaluating PHVs

FOR IMMEDIATE RELEASE

Contact: Angie Porter
919-297-7152
APorter@ASEcho.org

ASE Publishes Updated Guideline for Evaluating Prosthetic Heart Valves

The guideline focuses on the use of echocardiography and multimodality imaging in evaluating patients with significant cardiac valvular disease

(DURHAM, NC, January 8, 2024)—A new guideline from the American Society of Echocardiography (ASE) aims to provide clinicians with a comprehensive resource for evaluating prosthetic heart valves (PHVs). Guidelines for the Evaluation of Prosthetic Valve Function with Cardiovascular Imaging: A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance and the Society of Cardiovascular Computed Tomography replaces the Society’s original guideline published in 2009.

While many principles and recommendations detailed in ASE’s original guideline on PHVs are still current and valid, the document was published prior to several important developments, including the function of percutaneous valves, the use of three-dimensional (3D) echocardiography, and the role of computed tomography (CT) and cardiac magnetic resonance (CMR) in the evaluation of PHVs.

“This new guideline on prosthetic valves was very much needed, as the field has changed so much since 2009, with the introduction of percutaneous valves and improvements in 3D echocardiography and multimodality imaging,” says Chair of the Guideline Writing Group Dr. William A. Zoghbi, Professor and Chairman of the Department of Cardiology at Houston Methodist Hospital in Texas. “It provides clinicians with a roadmap for evaluating PHVs, while aiming to improve patient care and outcomes in the field.”

Dr. Pei-Ni Jone, Co-Chair of the Guideline Writing Group and Director of the Echocardiography Laboratory at the Heart Center, as well as an Attending Physician in Cardiology at Ann & Robert H. Lurie Children’s Hospital of Chicago, adds, “The new guideline provides the clinician with much-needed information on how to evaluate PHVs with cardiac ultrasound, particularly with the added value of 3D echocardiography, and when to use further imaging with cardiac CT or CMR.”

Echocardiography is the first-line modality used to assess prosthetic valve function in patients with significant cardiac valvular disease. However, recent advances in CT and CMR have enhanced their roles in evaluating valvular heart disease. This new guideline offers guidance on which imaging modality can be most helpful for each respective valve and includes the newest valves available.

Additionally, the guideline consolidates critical information gleaned from imaging into tables and key points, while also offering a review of the echocardiographic techniques used and providing recommendations and general guidelines for evaluating prosthetic valve structure, function and regurgitation.

The new guideline is published in the January 2024 issue of the Journal of the American Society of Echocardiography. All guidelines published by ASE are available at ASEcho.org/Guidelines.

About American Society of Echocardiography
The American Society of Echocardiography (ASE) is the Society for Cardiovascular Ultrasound Professionals™. ASE is the largest global organization for cardiovascular ultrasound imaging serving physicians, sonographers, nurses, veterinarians, and scientists and as such is the leader and advocate, setting practice standards and guidelines for the field. The Society is committed to advancing cardiovascular ultrasound to improve lives. For more information, visit the ASE website ASEcho.org or social media pages on Facebook, X, LinkedIn, or Instagram.

 

###

New ASE Guideline Aims to Optimize Care for Pediatric Oncology Patients

FOR IMMEDIATE RELEASE

Contact: Angie Porter
919-297-7152
APorter@ASEcho.org

New Guideline Aims to Optimize Care for Pediatric Oncology Patients

The guideline focuses on the use of echocardiography and multimodality imaging in monitoring cardiac function in children with cancer

(DURHAM, NC, December 4, 2023)—A new guideline from the American Society of Echocardiography (ASE) offers recommendations to pediatric cardiologists and oncologists on the application of multimodality imaging in children undergoing cancer treatment.

Cardiovascular ultrasound has long been recognized as a valuable tool in assessing cardiac function and is the first-line imaging technique used to monitor cardiac function during and after cancer treatment in both adult and pediatric patients. However, as the field of pediatric cardio-oncology continues to evolve, children with cancer may also benefit from the addition of other noninvasive imaging techniques.

The newly released guideline, titled “Multimodality Imaging for Cardiac Surveillance of Cancer Treatment in Children: Recommendations From the American Society of Echocardiography,” provides detailed guidance on how to perform echocardiographic exams, which parameters to use in clinical decision making, and the circumstances under which additional imaging modalities, such as magnetic resonance imaging (MRI) and computed tomography (CT), should be considered.

“Cardiovascular complications developing during and after cancer treatment remain a significant challenge and continue to compromise the long-term health of this growing patient cohort,” says Luc Mertens, MD, PhD, FASE, chair of the guideline writing group. “The primary goal of cardiac monitoring is to identify early signs of potentially reversible heart disease and to minimize the risk of progression from asymptomatic to clinically overt heart disease.”

The document also stresses that therapeutic decisions should be based on multidisciplinary discussions among cardiologists, oncology teams, and the patient and their family.

“This guideline highlights the knowledge gaps in the current practice of cardiac monitoring and cautions making therapeutic decisions on cancer treatment for pediatric patients solely on cardiac imaging data,” says Gautam Singh, MD, FASE, co-chair of the writing group. “By standardizing the use of echocardiography and providing evidence-based recommendations, this guideline can help improve long-term cardiac outcomes of pediatric cancer patients.”

This document is published in the December 2023 issue of the Journal of the American Society of Echocardiography. All guidelines published by ASE are available at ASEcho.org/Guidelines.

About American Society of Echocardiography
The American Society of Echocardiography (ASE) is the Society for Cardiovascular Ultrasound Professionals™. ASE is the largest global organization for cardiovascular ultrasound imaging serving physicians, sonographers, nurses, veterinarians, and scientists and as such is the leader and advocate, setting practice standards and guidelines for the field. The Society is committed to advancing cardiovascular ultrasound to improve lives. For more information, visit the ASE website ASEcho.org or social media pages on Facebook, Twitter, LinkedIn, or Instagram.

###

 

GivingTuesday 2023

 

The ASE Foundation is Accepting
GivingTuesday Donations November 26-December 2

Fundraising Goal: $35,000

The ASE Foundation is proud to participate in the global generosity movement known as GivingTuesday. Your donation ensures that we continue to foster the next generation of cardiovascular ultrasound professionals, award research grants to investigators, bring cardiac care to areas in need, among other charitable projects in 2024.

The Foundation celebrates the generosity of our donors every day. After all, YOU are what makes us successful! Your donations provide support for initiatives, such as student scholarships, scientific research, and guideline dissemination, that are not supported by ASE membership dues.

Click here to donate today. No matter where your heart lies, the Foundation can support your passion and you can take pride in knowing that 100% of your donation goes back out into the field. Donations towards our $35,000 fundraising goal will be accepted through December 2. Together we can continue to make a world of difference!

Apply for an ASE/ASEF Leadership Position

Now is your chance to become a leader in ASE and the ASE Foundation! If you are an active member and meet the criteria outlined for the position, ask a friend or colleague who is also an ASE member to submit a nomination on your behalf. All available positions are open to any ASE member, regardless of their specialty, and we are looking for a diverse pool of nominees.

November 30, 2023, is the deadline for candidates to submit all materials required for available positions on the ASE Foundation Board of Directors and Council Steering Committees.

December 7, 2023, is the deadline for candidates to submit all materials required for available positions on the ASE Board of Directors and ASE Executive Committee. Changes were recently made to the criteria for Treasurer, Secretary, and Council Representative. See if you qualify.

Learn More & Apply!

Download the New Echo for Cardiac Amyloidosis Poster

ASE offers a variety of echocardiography and amyloidosis resources, and we are happy to announce a new, free poster available now on our website! Download the Echo for Cardiac Amyloidosis poster that was produced by ASE in collaboration with Pfizer. This piece was created from an article “Practical Points for Echocardiography in Cardiac Amyloidosis” that was published in the Journal of the American Society of Echocardiography. This new poster focuses on the common echocardiographic imaging findings of cardiac amyloidosis (CA), and highlights red flags that should raise suspicion for the diagnosis. It offers practical tips for image acquisition and interpretation and outlines recommendations for standard reporting of an echocardiogram in a patient with CA.

GivingTuesday 2023 is Around the Corner!

GivingTuesday is next week on November 28, but the ASE Foundation will be accepting contributions toward its $35,000 fundraising goal from Sunday, November 26 – Saturday, December 2. When considering your donation, keep in mind that you can earmark your funds to a Foundation initiative that aligns with your priorities. If bringing adult and pediatric cardiac care to areas in need, teaching clinicians, and providing direct patient services to at-risk communities around the world is important to you, consider donating to the Foundation’s Global Health Outreach initiative.
In September 2023, the Foundation welcomed the return of its in-person global health events. In collaboration with the Vietnam National Heart Institute at Bach Mai Hospital, a team of ASEF volunteers traveled to Sapa in Northern Vietnam to host a two-day medical outreach and research event. They also participated in a two-day Vietnam-America Echocardiography Symposium at Bach Mai Hospital in Hanoi, which consisted of lectures and case presentations for over 150 clinicians from across Northern and Central Vietnam. You can read more about this event online here and in the upcoming December 2023 issue of Echo magazine.
Donations to the Foundation’s Global Health Outreach initiative also fund the dissemination of both English and translated guidelines and educational materials to help facilitate adoption of these quality measures by specialists worldwide. When planning your GivingTuesday donation next week, consider donating to Global Health Outreach.
Contact the Foundation at Foundation@ASEcho.org with any questions or to make an early pledge

ASE 2023 Black Friday Sale

Save on Select ASE Educational Products this Black Friday!
November 22, 10:00 AM ET – November 25, 9:00 AM ET

Shop the Black Friday catalog in ASE’s Learning Hub! Each item is automatically discounted in ASE’s Learning Hub, so no coupon code is required. The Black Friday deals are in addition to the discounts ASE members already receive as a benefit of membership. Be sure to log in to the ASE Member Portal for the lowest prices.

Guideline Reference Spiral
Save 10%

The Guideline Reference Spiral consists of graphic illustrations of ASE’s most popular Guidelines.

Member Price: $135.00             Non-member Price: $195.00
Member Discount: $121.50      Non-member Discount: $175.50

 

Bundle of Valve Pocket Guidelines (6 Valvular Pocket Guides)Bundle of Pocket Guidelines (All 10 Pocket Guides)
Save 20%

A set of 10 3″ x 4″ pocket-sized flip books made up of charts and illustrations from ASE Guidelines.

Member Price: $95.00                Non-member Price: $105.00
Member Discount: $76.00         Non-member Discount: $84.00

 

Echocardiography Formula Review Guide BUNDLE: Volumes 1, 2 & 3Echocardiography Formula Review Guide Bundle: Volumes 1, 2, & 3
Save 5%

These 6″ x 8″ spiral-bound handheld guides include a total of 49 pages of formulas, diagrams, and charts covering various topics.

Member Price: $85.00                Non-member Price: $135.00
Member Discount: $80.75         Non-member Discount: $128.25

 

Comprehensive Echocardiography Textbook 3rd EditionASE’s Comprehensive Echocardiography 3rd Edition
Save 5%

This textbook covers the full spectrum of sonography of the heart–from basic foundations and principles to all clinical aspects–in one authoritative, definitive clinical resource.

Member Price: $229.99                Non-member Price: $249.99
Member Discount: $218.49         Non-member Discount: $237.49

 

ASE’s Comprehensive Strain Imaging TextbookASE’s Comprehensive Strain Imaging Textbook
Save 5%

Written by international ASE experts, this textbook will be your go-to guide for everything related to strain technique and application.

Member Price: $179.99                Non-member Price: $214.99
Member Discount: $170.99        Non-member Discount: $204.24

 

Guideline Flip Chart: Valve Poster Bundle (Set of 4)Bundle of Valve Posters
Save 10%

A bundle of four 24″ x 30″ posters covering valvular topics including: aortic valve stenosis, aortic regurgitation, mitral regurgitation, and tricuspid and pulmonic regurgitation.

Member Price: $80.00                Non-member Price: $120.00
Member Discount: $72.00         Non-member Discount: $108.00

November 2023 CASE

The latest issue of CASE is now available with intriguing reports, including “The Sword and the Crown: Echocardiography for the Detection of a Rare Combination of Congenital Heart Disease” by Akingbade et al. Author Jeremy A. Slivnick, MD, FACC, FASE, remarked, “We present a case of partial anomalous pulmonary venous return with Scimitar Syndrome and persistent left superior vena cava which was incidentally detected by transthoracic echocardiography in a young female patient. Our case highlights the importance of careful sonographic evaluation for shunt lesions—including anomalous pulmonary venous return—whenever unexplained right heart enlargement is present. Additionally, passage of saline contrast bubbles into the coronary sinus prior to the right ventricle on left arm injection is confirmatory of persistent left superior vena cava.”

In a second Congenital Heart Disease report, authors utilize expert fetal echocardiography skills to evaluate an atrial mass that could have easily been misinterpreted. This issue contains two cases in Multimodality Imaging, including reports on the strengths and weaknesses of multimodality imaging in an investigation of rare pericardial tumors, and the migration of an atrial septal defect closure device to the pulmonary artery of a pregnant patient. Cardiac Tumors and Pseudotumors offers two serial imaging studies demonstrating the usefulness of radio-, targeted molecular-, and immune-therapies in the complete resolution of large masses. In a letter to the editor, authors provide additional 3D echo insights to consider when examining the LAA. Dr. Sorrell’s editorial discusses the normality of false chords and suggests reporting must evolve in accordance with improved imaging capabilities, which can now detect previously hidden anatomic variations.

Looking for a journal to submit your case report to? We want to hear from you! Email us with questions or submit your report today. Be sure to check out the latest Sonographer Sound-Off and Unlock the CASE features on the CASE Homepage to view more extraordinary work from your colleagues.

New AMA Survey to Document Changes in Physician Practice Expense

Your input will ensure future accurate valuation!

The American Medical Association (AMA) is undertaking a new national survey, supported by 173 healthcare organizations, to collect representative data on physician practice expenses. The aim of the Physician Practice Information (PPI) Survey is to better understand the costs faced by today’s physician practices to support physician payment advocacy. The study will serve as an opportunity to communicate accurate financial information to policymakers, including members of Congress and the Centers for Medicare & Medicaid Services (CMS). The AMA has contracted with Mathematica, an independent research company with extensive experience in survey methods as well as health care delivery and finance reform, to conduct the study.

Watch for invitations to complete this survey in your email inbox (remember to check spam/junk folders):

  • Invitations and reminders about the survey will come from PPISurvey@mathematica-mpr.com with the subject line: “American Medical Association requests your input on physician practice expense and patient care hours.
  • Invitations and reminders about physician hours worked will come from PhysicianHoursSurvey@mathematica-mpr.com with the subject line: “Please help to update accurate physician payments.

The Medicare physician payment schedule, maintained by CMS and used by many other payers, relies on 2006 cost information to develop practice expense relative values, the Medicare Economic Index and resulting physician payments. As the U.S. economy and health care system have undergone substantial changes since that time, including inflation and the wide-spread adoption of electronic health records and other information technology systems, practice expense payments no longer accurately reflect the relative resources that are typically required to provide physician services.

The survey will rely on financial experts in the practice to complete an online financial information survey. The number of direct patient care hours is a critical component of the Medicare payment methodology. Therefore, thousands of individual physicians will receive a short patient care hours survey from either their practice directly or from Mathematica. The input from physician practices and individual physicians that are randomly selected to participate in this study is critical for its success. Participation will ensure that practice expenses and patient care hours are accurately reflected.

Please contact sherry.smith@ama-assn.org with any questions related to the PPI Survey or Irene Butler ibutler@asecho.org if you would like additional background information.

Mathematica formally launched the PPI Survey on July 31, 2023.