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MedAxiom HeartTalk

Author: MedAxiom HeartTalk

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Cardiovascular leaders discuss today’s most innovative ideas and pressing challenges, with the goal to transform cardiovascular care for all. Top cardiologists, hospital administrators, industry experts and consultants talk patient care, physician culture, financial management, new technology, legislation and more.
59 Episodes
Are you wondering about CPT code changes for cardiology for 2020? Looking for clarity on E/M codes, NCCI edits, MCCs, and risk adjustment? In this episode, we feature the experts of MedAxiom's Revenue Cycle Consulting team – Nicole Knight, Joline Bruder, and Jammie Quimby – for their insights about what to expect and how to prepare for 2020 coding and reimbursement changes.
The American College of Cardiology's recent acquisition of MedAxiom has created a powerful, new professional home for the entire cardiovascular team. The new organization is uniquely positioned to combine rich data resources and collaborate with physicians, industry, and payors to serve all cardiovascular model needs. Join us for a conversation with MedAxiom's new president, Jerry Blackwell, MD, MBA, FACC, about what inspired him to step into his role, the benefits for members and the CV community, and his thoughts on a bright future for MedAxiom and the ACC.
The Value of Benchmarking

The Value of Benchmarking


Tracking metrics and comparing them to external benchmarks is a critical part of assessing performance and monitoring how you rank against competitors and peers. Benchmarks give context to program gaps, help frame decisions, and aid in program design and planning to ultimately improve the delivery of patient care. The importance of cardiovascular services specific benchmarking is what led MedAxiom to develop our annual Cardiovascular Provider Compensation & Production Survey. The data are essential to practice and program leaders, and there is no other platform like it in our specialty.In this episode, we talk with the survey’s author and MedAxiom Executive Vice President of Consulting, Joel Sauer, and Jonathan Fialkow, MD, practicing cardiologist and group practice leader and Chief Population Health Officer at Miami Cardiac and Vascular Institute, Baptist Health South Florida, about the value of benchmarks and how to use the results of the annual survey in recruitment and planning efforts.Download the Survey: the Webinar: or feedback? Email:
As measured by wRVUs, the productivity of advanced practice providers (APPs) has been on the rise since 2015. Although this is good news for patient access and revenue growth, there is still room for improvement. In this episode, we talk with Ginger Biesbrock, Senior Vice President of Consulting at MedAxiom, about the challenges and best practices for optimizing APPs to the top of their licensure. Ginger shares the APP productivity data from the 2019 Provider Compensation and Production Survey and gives us her take on what is needed to move the needle on APP utilization, role structure, and profitability.01:58 Ginger has been a Physician Assistant since 199803:24 What gets Ginger excited to go to work everyday04:55 State of the State for the team-based care model08:35 APP productivity data from 2019 Survey Report12:23 Common challenges to APP utilization and valuation19:44 What works in the team-based care model22:06 Getting patient buy-in24:48 How this applies to subspecialty clinics26:46 Self-assessment for APP utilization27:08 What does NOT work in the team-based care model30:32 CV Transforum session on Patient Access32:04 Advice for implementationGinger's blog: for CV Transforum at http://cvtransforum.comWe'd love to hear from you! Email
What's Your "Why"?

What's Your "Why"?


What inspired you to choose the path toward cardiovascular services? What drives you to continue your journey to care for patients or serve in your role? Terri McDonald, MedAxiom's newest consultant, shares the "why" behind her decision to pursue a CV nursing career, and how the personal impact of one patient's experience drove her to make a critical career change. We talk with Terri about her recent role as a heart and vascular service line administrator at Tallahassee Memorial Hospital, and her advice for physicians and CV leaders looking for ways to collaborate and create a better experience for patients. 00:53 Cheryl Toth is the new host of MedAxiom HeartTalk 01:37 Terri McDonald is MedAxiom’s newest consultant 05:11 What Terri likes to do in her personal time 07:57 Terri tells us her "Why" 10:06 Terri shares the story that changed the course of her career 13:06 The Great Divide - trust is biggest challenge to patient-centered care 16:51 Role of quality and cost data 18:21 Bridging the Great Divide - strategies that have worked for Terri 23:24 Terri's advice to leaders as they implement shared governance Terri's blog post: Email us:
Direct to provider contracts are beneficial from a quality and health economics perspective but they can limit care to the patients they are designed to serve. Joe Sasson, Ph.D., Executive Vice President of MedAxiom Ventures, shares some innovative solutions that would offer better access between providers and payers.
Patient access has become one of the hottest topics across the country in the majority of CV programs. Nicole Knight, LPN, CPC, CCS-P, ACS-CA, Director of Revenue Cycle Solutions at MedAxiom, shares how patients define access and what we consider to be the attributes to a high performing CV program.
Trying to determine how much time an APP should contribute weekly can vary depending on the needs and size of the organization. Ginger Biesbrock, PA-C, MPH, MPAS, AACC, Vice President - Consulting for MedAxiom, explains why it is important for the leadership and APP teams to set and review expectations and what each should commit to for building a healthy team-based environment.
The Fall CV Transforum is quickly approaching and we want you to be aware of what will be covered. Lori Walsh provides a first look at the agenda with insights about the sessions we're planning. Lori Walsh, MHSA is Vice President - Membership and Senior Consultant for MedAxiom.
Most programs are involved with at least one registry but struggle to effectively utilize the data. Ginger Biesbrock explains three areas that need to be managed in order to ensure this valuable tool is not left unused. Ginger Biesbrock, PA-C, MPH, MPAS, AACC, is Vice President - Consulting for MedAxiom.
How can we deliver quality care to our patients where they need it most? HeartTalk guests share their unique perspectives on outreach program management and strategies for maintaining: local, patient-centered care, team-based care for post-procedure patients, and effective APP utilization. Dino Recchia, MD, FACC, is Chairman of the Department of Cardiology for Traverse Heart & Vascular, Munson Healthcare. Robert Vincent, MD is Chief Financial Officer for Sibley Heart Center Children's Healthcare of Atlanta. Kay Stewart-Huey is Vice President of Cardiac Services for Children's Healthcare of Atlanta. Ginger Biesbrock, PA-C, MPH, MPAS, AACC, is Vice President - Consulting for MedAxiom.
It's important to create a formal process for acclimating and developing each new employee. Lori Walsh provides seven tips to help improve employee engagement and provide that continuous line of communication. Lori Walsh, MHSA is Vice President - Membership and Senior Consultant for MedAxiom.For more information, email or visit
Time is central to the Evaluation and Management (E/M) coding system and changes from CMS and the American Medical Association (AMA) could impact documentation requirements in this area. Nicole Knight provides a few things you may want to look at as you evaluate your time-based coding effectiveness, training needs and future opportunities. Nicole Knight, LPN, CPC, CCS-P, ACS-CA, is Director of Revenue Cycle Solutions at MedAxiom Consulting.
Lead administrator and physician from Bellin Health share their journey of navigating the corridor from volume to value-based healthcare and address these important questions:•What does volume-to-value mean for you?•How are physicians reacting to this new population health model?•Why have you decided to focus on understanding cost of care?•From a population health perspective, what focus areas are you targeting for 2019?Andrea Werner, MSW is Senior Vice President for Cardiovascular and Pulmonology; Neurosciences, Orthopedics, and Sports Medicine; and Pathology and Radiology for Bellin Health in Green Bay, Wisconsin. James Rider, MD is the Director of Cardiovascular Research, Nuclear Cardiology, and the CHF program for Bellin Health in Green Bay, Wisconsin. Lori Walsh, MHSA is Vice President - Membership and Senior Consultant for MedAxiom.
Hierarchical Condition Categories (HCCs) have been included in Medicare's methodology for risk adjusting provider payment since 2004. And while not new, they continue to be a topic of concern. This video answers: what do physicians need to focus on regarding HCCs, how should HCCs be handled on the outpatient side, and what are some strategies to improve documentation and to best incorporate HCCs into the physician workflow? Linda Gates-Striby, CCS-P, ACS-CA is Director Quality Assurance, SVMG Ascension Indiana. Nicole Knight, LPN, CPC, CCS-P, is Director of Revenue Cycle Solutions and Senior Consultant, for MedAxiom, an ACC Company. For more information, email or visit
As MIPS enters its third year, understanding how to access your data, interpret it, and create meaningful action plans becomes challenging. Cathie Biga, MSN, RN, FACC, ACC Trusteeand President and CEO of Cardiovascular Management of Illinois, shares the latest on: attribution, cost, interoperability, risk scoring, and the vital role that documentation plays in determining whether you will receive proper credit for your risk score. Pat White is Senior Advisor for MedAxiom, an ACC Company. For more information, email or visit
Now that CMS has opened the application period for Cohort 2, there are lessons to be learned from those that have come before us. Ginger Biesbrock, PA-C, MPH, MPAS, AACC, Vice President of MedAxiom Consulting, explains that the consensus from participating groups has been favorable and provides key lessons learned from their experience.Learn more about the next open enrollment period at and join us at our upcoming webinar: BPCI Advanced: Insights and Lessons Learned from Cohort 1 CV Participants, on Wednesday, May 22, 2019 at 1:00 pm. Register at
What is the best model for compensating physicians, and what is your process for implementing change in physician compensation? Two MedAxiom member programs highlight their respective answers to these questions, showcasing unique compensation models for cardiology in these challenging times. Joseph Goeke, MD, is Chairman of Operations and Finance Committee at Saint Luke's Physician Group. Arie Szatkowski, MD, FACC, is Director of Cardiovascular Services for Baptist Memorial Healthcare Corporation, Baptist Desoto Hospital, Stern Cardiovascular Clinic. Joel Sauer, MBA, is Executive Vice President of MedAxiom Consulting.
MedAxiom's revenue-cycle team shares the latest coding changes and documentation guidelines for: structural heart programs, TAVR, EP studies, device implants, E&M services and surgical procedures. Nicole Knight, LPN, CPC, CCS-P, is Director of Revenue Cycle Solutions and Senior Consultant, for MedAxiom. Joline Bruder, CPC, CPMA, CCVTC, CGSC, and Jammie Quimby, CPC, CCC, CEMC, CCS-P, CPMA, CRC, are Revenue Cycle Solutions Consultants, for MedAxiom. Register for their next webinar at
Artificial Intelligence continues to advance and to offer innovative ways of tracking cardiovascular patient data. Hear from John Rumsfeld, MD, Ph.D., FACC, Chief Innovation Officer for the American College of Cardiology, as he sits with Joseph Sasson, Ph.D., Executive Vice President of MedAxiom Ventures, to discuss these questions: 1.What is AI, and what isn't AI?2.What are the misconceptions about AI in healthcare?3.What are some notable examples of success using AI in the CV space?4.What are some key barriers to successful AI applications for CV care?5.How would a typical CV program leverage the benefits of AI today, or is it too early to engage with AI?This episode was recorded at the CV Transforum Spring 2019 conference. For more information and to register for the CV Transforum Fall 2019 conference, visit
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