On-Demand — Ambulatory Specialty Model Crash Course: What Cardiologists Must Know

The Ambulatory Specialty Model is mandatory. If you treat heart failure patients in a designated region, CMS has already decided you're in — and your Medicare Part B revenue is on the line.

What’s at stake?

• ±9% Payment adjustment on all Medicare Part B claims — not just heart failure

• 5 yrs Performance window. Early gaps compound. There is no reset.

• 2027 Model start date. Attribution is already being built from your claims today.

CMS determines participation through retrospective Medicare claims data. Cardiologists with 20+ attributed heart failure beneficiaries in designated regions are automatically included. If you haven't mapped your exposure yet, this session is where to start.

In this on-demand crash course, Medicare compliance expert Daniel Tashnek, J.D. walks through exactly what mandatory participation means for cardiology practices and what you need to have in place before performance measurement begins January 1, 2027. This 30-minute crash course is built specifically for the Heart Failure track, so every minute is relevant to your practice.

What you'll master in 30 minutes:

• The scoring matrix: A plain-language breakdown of quality, cost, care Improvement activities, and interoperability.

• Why blood pressure and weight are your new scorecards: Understand exactly which physiologic indicators influence your quality score and how to capture them reliably.

• The hospitalization defense framework: Avoidable admissions directly move your cost benchmark. Learn the workflow triggers that catch decompensation before it becomes an ER visit.

• RPM as longitudinal infrastructure: Remote patient monitoring is the infrastructure that bridges the gap between visits and the continuous accountability the model demands.

• Your readiness checklist: Walk away with a concrete action plan, what to assess now, what to stabilize before performance begins, and where documentation gaps are most likely to hurt your score.

* Disclaimer: This presentation is for informational purposes only and does not constitute legal or other professional advice. Billing and coding requirements – especially in the telehealth space – can change and be reinterpreted often. You should always consult an attorney and/or medical billing professional prior to submitting claims for services to ensure that all requirements are met.