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  • 30 Jan 2020 4:54 PM | Leah, Communications Committee Chair Lenz (Administrator)

    Update on AACVPR Day on the Hill 2020 and IACPR Call to Action

    Submitted by Susan Flack, Reimbursement/Legislative Committee Chair

    Jan 27, 2020

    Deb Anderson and Susan Flack will be representing IACPR as they attend AACVPR’s Day on the Hill (DOTH) Mar 2-4, 2020. The focus of our visits:

    • ·         In the House of Representatives: Gain support for H.R.4838 – SOS: Sustaining Outpatient Services Act. A section in the 2015 Budget Act directs a decrease in payment for outpatient programs that choose to expand or relocate away from a hospital campus. This creates a strong disincentive for hospitals to improve patient access at a time when Medicare is encouraging increased participation in our services. H.R.4838 would exempt certain hospital outpatient services (including cardiac and pulmonary rehabilitation) from these payment reductions.
    • ·         In the Senate: We will inform our Senators of the House Bill, and garner support for a companion bill, expected to be introduced soon in the Senate. Senator Grassley is Chairman of the Senate Finance Committee. In past DOTH appointments we have built a strong working relationship with Senator Grassley and his team. There may be a Medicare “Fix Bill” introduced in the spring. If Senator Grassley recognizes the significance of our bill, and it has strong support in the Senate, he could attach it to another bill, thereby increasing its chance of passage.

    How can you help?

    • 1)      Do you know of a cardiac or pulmonary rehab program being affected by this location stipulation? Is your program wanting to relocate but unable to do so due to decreased reimbursement? Email me: susan.flack@unitypoint.org  Real-life examples from their home state make a strong impact with our elected officials.
    • 2)      Prior to our DOTH visit, please make sure your Congressman/woman knows about H.R.4838 and why it is important to their constituents. Several weeks ago you were encouraged to use the virtual lobbying tool on the AACVPR website to contact your representative. As of 1/27/20, 35 persons in Iowa have sent 57 messages to members in the House of Representatives. A breakdown:
    • ·         Congressman King (District 4) – 31 letters
    • ·         Congresswoman Axne (District 3) – 18 letters
    • ·         Congressman Loebsack (District 2) – 6 letters
    • ·         Congresswoman Finkenauer (District 1) – 2 letters

    If you have not yet contacted your District Representative regarding H.R.4838, please do so as soon as possible. Detailed information about this issue, and contact information is available on the AACVPR website. The virtual tool is simple to use, but if you prefer you may call or fax their office. Our DOTH visits are much more productive if our Representatives are aware of our bill. Phone calls and faxes from patients and physicians are great as well. The more they receive the better!

    • 3)      Stay tuned for information regarding a companion Senate bill. When introduced, we will encourage use of a virtual correspondence tool for this as well.
  • 9 Dec 2019 12:57 PM | Leah, Communications Committee Chair Lenz (Administrator)

    Please click the link below to access the IACPR Fall Newsletter for 2019. 

    IACPR Newsletter Fall 2019.pdf

  • 27 Mar 2019 5:12 PM | Leah, Communications Committee Chair Lenz (Administrator)

    As you know, AACVPR held its annual Day on the Hill advocacy event earlier this month in Washington, DC. Over 75 individuals representing more than 30 states made over 150 visits to their elected officials. Many of you partook! This year, the event and some of the key elements of our advocacy efforts were captured on camera.

    Please take a moment to view this DOTH video (YouTube): https://youtu.be/UaDr2a2L058

    Finally, while AACVPR has made good traction in the efforts to amend 603, the advocacy doesn’t stop at Day on the Hill. Check the AACVPR website to find additional “DOTH at Home” resources. You are encouraged to visit you representatives’ home offices and advocate for change. Or contact them on-line through senate.gov or house,gov.

    https://www.aacvpr.org/Advocacy/Advocacy-Day-on-the-Hill

     

     

  • 18 Jan 2018 4:55 PM | Leah, Communications Committee Chair Lenz (Administrator)

    Kim Eppen PT, PhD, provides a summary of the presentation she gave at the AACVPR conference in 2017, regarding outcomes in pulmonary rehabilitation.

    FIFTH POST

    Join the IACPR now to view this article in the Members Only section.

     

  • 16 Nov 2017 4:36 PM | Leah, Communications Committee Chair Lenz (Administrator)

     Janie Knipper RN, MA, AE-C, MAACVPR, provides insight into collaborative self-management with the pulmonary rehab population. Collaborative self-management describes the combined efforts of the health care team and the patient/family to meet the needs of the patient in relation to the management of their chronic lung disease. The goal of self-management training is to empower the patient at all stages of disease.

    FOURTH POST

    Join the IACPR now to view this article in the Members Only section.

  • 10 Nov 2017 3:36 PM | Leah, Communications Committee Chair Lenz (Administrator)

    Janie Knipper RN, MA, AE-C, MAACVPR, provides details regarding the reasons for low reimbursement rates for pulmonary rehabilitation, what AACPVR is doing to try to improve them, and what pulmonary rehabilitation professionals need to do to help.

    THIRD POST

     Join the IACPR to view this article in the Members Only section. 

  • 6 Nov 2017 7:09 AM | Leah, Communications Committee Chair Lenz (Administrator)

    More depth is provided, by Janie Knipper RN, MA, AE-C, MAACVPR, regarding Medicare policy and reimbursement for pulmonary rehabilitation, in 2018.

    SECOND POST

    Join the IACPR to have view this article in the Members Only section

  • 1 Nov 2017 3:36 PM | Leah, Communications Committee Chair Lenz (Administrator)

    IACPR members, Janie Knipper RN, MA, AE-C, MAACVPR and Kim Eppen PT, PhD, gave multiple presentations regarding various aspects of pulmonary rehabilitation, at the national conference, in October.  In the next few weeks, the summary of each presentation will be posted.  This is valuable information an well worth your time.

    In this article Janie Knipper applies her decades worth of knowledge to provide a summary of the components necessary to create a comprehensive pulmonary rehab program

    FIRST POST

    Join the IACPR now to view this article in the Members Only section.

     

  • 6 Jul 2017 6:26 AM | Leah, Communications Committee Chair Lenz (Administrator)

     An inquiry was sent to WPS to seek clarification on a question raised at the IACPR Conference in April:

    In June of 2016, WPS replied to a series of questions posed by the J5 MAC Committee.  In the reply, WPS responded that not only pulmonary rehab ITPs, but cardiac rehab ITPs  must be signed by the physician prior to the patient’s first treatment session. This is not in the CR regulations (Code of Federal Regulations), but it is in the PR regulations.  So we asked for clarification again regarding the need for the CR physician to sign the treatment plan prior to the patient's first treatment session. 

    The response from WPS is as follows:

    Thank you for the inquiry you sent to Wisconsin Physicians Service (WPS) Government Health Administrators (GHA) regarding cardiac rehabilitation.  I contacted our Medical Review department including our Contractor Medical Director (CMD) for assistance with your inquiry. The Medical Review staff and CMD indicates, the cardiac rehabilitation treatment plan is considered an order and must be signed prior to treatment in order to be valid. The physician’s order is written prior to the services being done to document the services being ordered.

    It is surprising WPS is calling the ITP an “order”, but they are so we need to follow this rule.  Please contact Janie Knipper if you have further questions about this.

    Thank you!

    Janie

    Janie Knipper, RN, MA, AE-C

    Pulmonary Rehabilitation Supervisor

    University of Iowa Hospitalsand ClinicsIowa City, IA 52242

    P: 319-356-8396F: 319-353-7199

    Email: jane-knipper@uiowa.edu

     

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