Structural Heart 2027: Navigating New TAVR Coverage, Coding and Program Requirements

Description

The Centers for Medicare & Medicaid Services newly finalized TAVR coverage policy creates potential changes for structural heart (SH) programs heading into 2027. This session will translate the new Medicare requirements into practical considerations for physicians, program leaders and revenue cycle teams.

Participants will explore changes to TAVR coverage, heart team evaluation, operator and facility requirements, as well as coding, documentation and financial considerations throughout the SH patient journey. The session will also identify opportunities to align clinical workflows, documentation, revenue integrity and quality oversight within the new coverage framework.

Objectives
• Interpret key Medicare TAVR coverage changes and their impact on SH programs.
• Optimize operational workflows across evaluation, heart team decision-making, procedures and follow-up.
• Strengthen coding, documentation and billing practices to support compliant reimbursement and financial performance.
• Align quality oversight and outcomes monitoring with evolving program requirements.
• Identify financial and revenue integrity opportunities across the SH patient journey.

Speakers

Nicole Knight, LPN, CPC, CCS-P
Executive Vice President, Revenue Cycle Solutions and Care Transformation Services, MedAxiom

Nicole Dellise DNP, APRN, FNP-BC, NEA-BC, CHFN, CCK, FACC
Vice President, Care Transformation Services