CMS Brings Much-Needed Changes to Rules on TAVRs and Cardiac Rehab in BPCI Advanced

Partner News | Published: Friday, August 30, 2019 6:00 am


When 2020 begins, the BPCI Advanced Program from the Centers for Medicare & Medicaid Services (CMS) will enter the third of its six Model Years. For Model Year 3 (MY3), a new cohort will join the 1,300 providers currently enrolled in the program, and some recently announced program updates will bring more incentives and value to all participants – particularly cardiologists. Starting with MY3, if a TAVR occurs after a PCI procedure, the PCI bundle will be canceled and the TAVR bundle will be triggered with separate episode pricing. CMS also announced last week that it will exclude the cost of cardiac rehabilitation (home-based, long-term care) and intensive (hospital-based) rehabilitation from cardiac episode bundle pricing in MY3. 

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