CMS Payment Models and Rules
The ASE Advocacy Team works hard to keep our members updated on everything they need to know related to the Centers for Medicare & Medicaid Services (CMS) decisions around the rules and payment models for healthcare services and providers.
CPT and RUC Process
ASE actively participates in the AMA's CPT Editorial Panel and Relative Value Update Committee (RUC) processes to ensure development of appropriate CPT codes for echocardiography procedures and subsequently to value the codes. ASE has advisors to both the CPT Editorial Panel and RUC who frequently work with advisors from other specialty societies to develop and present new and revised CPT code proposals and recommended code values.
Local and National Coverage Determinations
There are two types of coverage processes within the Centers for Medicare & Medicaid Services (CMS): NCDs and LCDs. Typically NCDs take precedence over LCDs, and the NCD process tends to be more lengthy and rigorous since it applies nationwide.