decisionhealth Newsletters, Part B News - 2008 Issue 9 (September)
Artificial hearts will receive coverage as part of clinical trial
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Article Overview
This article explains Medicare coverage policy for artificial heart implantation when performed under an approved clinical trial. It is relevant to coders, billing staff, and cardiac device providers who need to understand the CMS transmittals, the trial-related billing context, and how Medicare and Medicare Advantage claims are handled at a high level.
Why This Topic Matters
It helps readers identify when Medicare coverage is tied to a clinical study and recognize the CMS documentation and reporting framework associated with artificial heart-related services.
What You Will Learn
- How CMS frames Medicare coverage for artificial heart implantation in approved studies.
- What general billing and claims-processing context is associated with the coverage announcement.
- Which organizations and transmittals are mentioned in connection with the policy update.
- How the article situates artificial heart coverage within broader cardiac device policy.
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Cardiology practices
- Hospital outpatient departments
- Clinical research administrators
Codes Discussed
Modifiers Discussed
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