tci Medicare Compliance & Reimbursement - 2005 Issue 34

HOSPITALS: Now Hear This-Some Cochlear Implants Are Payable

Facilities must check the tests.Facilities that perform cochlear implantation for certain patients can get the Centers for Medicare and Medicaid Services to help foot the bill - if the physician performed the implantation after April 4, 2005.For a facility to receive reimbursement, its patients must fall into one of these two categories, according to a July 1 revision from CMS: People with moderate-to-profound hearing loss who score at or less than 40 percent correct on a hearing test on the best aided listening condition. The test must be tape-recorded tests of open-set sentence recognition, and the patient...

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