MOKSACVPR 2020 Spring Conference

May 1-2, 2020

Congratulations to MOKSACVPR’s newest AACVPR Fellows!

Carolyn Beard, RN-BC, BSN, CCRP, FAACVPR

2019-2020 MOKSACVPR President Elect


2019-2020 MOKSACVPR President 

It’s Time To


HR # 4838 – SOS: Sustaining Outpatient Services Act

AACVPR members have been going to Washington D.C. since 2018, asking for a correction to drastic reimbursement reductions for cardiac and pulmonary rehabilitation (CR/PR) services that are located off-campus.

We are ready to get this bill passed, but that will only happen with your help

Please encourage your patients and staff to reach out to their representatives.

Below are some simple instructions for staff and information for your patients on how to make this happen!

2019 Bill

2019 Bill Patient info.

Update from your MOKSACVPR Standards and Issues Chair…

NPP bill: There is a US House bill for the NPP bill-HR 3911. Work continues on a Senate companion bill introduction. This bill will allow NPPs to independently order CR/PR services. It will also allow NPPs to serve in the capacity of “immediately available”. The hope is that this bill is attached to whatever “Medicare fix package” passes in this fall’s Congressional session. There is no date of effectiveness at this point, CBO has not yet scored the bill, and it remains TBD how the proposed CMS 2020 OPPS regulation to shift these services to general supervision would or would not affect this bill and CR/PR requirements. AACVPR will work with AHA, ACC, PCNA, AAPA, and other professional organizations this fall on passage of this bill.

Site of Service bill: We continue to believe this is the most important legislative initiative AACVPR is currently undertaking, given increasing Congressional recommendations to remove grandfathered status for various aspects of hospital outpatient services. Legislative Counsel is writing the bill language, so we are encouraged that we will have a bill # to push this issue in the fall session.

CMS CAG: AACVPR and NAMDRC had a meeting this week with CMS Coverage & Analysis Group (CAG wrote the CR/PR regulations) to discuss common confusion among providers, MACs, and auditors over some requirements. While no decisions were offered, our points are under consideration and we were optimistic that a need for more clarity is appropriate. This will be discussed in more detail at the MAC TF meeting in September.

2020 Proposed Regulations: The proposed hospital outpatient and physician fee schedule regulations are being reviewed and a summary of anything of relevance to CR and PR programs will be included in a soon-to-follow Health Policy & Reimbursement Update. Proposed payment rates for CR & PR in the hospital setting remain close to 2019 rates.

 3.   DOTH 2018: 80 people from 32 states attended.  Main message was thanking members for supporting HR 1155 and S.1361, and requesting support for fixing Section 603 of the BBA of 2015 that has had a negative impact on the ability of CR and PR programs to expand due to the change to Physician Fee Schedule reimbursement which is a fraction of the reimbursement of Hospital Outpatient Prospective Payment System.  Most meetings seemed to be positive – they understood the issue, and they were aware of it b/c they have heard from hospitals about the problem. Hope to have a champion soon who will sponsor a bill, or move to try for an administrative fix to the language to exclude CR and PR from the effects of the BBA of 2015.

4.   KX Modifier – MLN Matters came out recently that was referring to “therapy” meaning PT/OT.  Many people felt it was related to CR and PR. It is not. There  is no change in how CR and PR use the KX Modifier.

5.   Palmetto MAC recently published a new CR LCD stating there must be 31 minutes of exercise rather than session duration of 31 minutes.  They must have copied and pasted from an old LCD.  If you have people asking about this, it does not affect our MAC!  Liaisons from that MAC and Karen will be having a call with the Palmetto Medical Director to help him understand the error in the LCD, and change it.

The culture of MOKSACVPR is…

Welcoming: as members of MOKSACVPR we strive to welcome all cardiac and pulmonary rehabilitation professionals to become integral parts of our organization.  Within our board and committee members we understand that it takes a team to accomplish the work that needs to be done.  We look forward to new and progressive ideas and welcome change as our world and profession evolves.

Supportive:  We support one another through knowledge sharing, encouragement and experience.  It is our desire that each and every member of our organization can depend on us to be a reliable source for information and support.

Dedicated:  The members of our organization demonstrate dedication and commitment through countless volunteer hours spent in working towards the objectives of MOKSACVPR.  Within this dedication it is evident that all persons involved have a strong passion for the jobs that they do.  We accept nothing less than loyalty in our ranks- we are true to each other and our profession.

Integrity:  Professional. Reliable. Trustworthy. Honest.  Our integrity is a critical asset and we are committed to uphold it.  We set high standards, and we abide by them as we practice business fairly and behave ethically.  We share our expectations with each other and strive to maintain an organization built on mutual values trust and goodwill.

Contact Us with Questions / Comments!