tci Medicare Compliance & Reimbursement - 2008 Issue 7
INDUSTRY NOTES: CMS Proposes Artificial Heart Device Coverage
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Article Overview
This article summarizes a CMS proposal affecting Medicare coverage for artificial heart devices in FDA-approved studies, introduces a new CMS online portal for Medicare information, and notes an ASC payment update that expands the set of HCPCS Level II codes payable by Medicare to ambulatory surgery centers. It is relevant for coders, billers, compliance staff, and healthcare administrators tracking Medicare coverage changes, CMS resources, and outpatient payment updates.
Why This Topic Matters
The article highlights policy and payment changes that can affect Medicare coverage, ASC reimbursement, and how providers locate CMS guidance. It is useful for teams monitoring federal updates that influence billing operations and payment eligibility.
Article Sections
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CMS Proposed Coverage for Artificial Heart Devices
Summarizes a CMS coverage proposal tied to Medicare and FDA-approved studies. It also notes the timing of the related national coverage determination process and public comment opportunity.
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Guided Pathways Debuts On CMS Web Site
Describes a new CMS web-based resource designed to help medical professionals find Medicare information more easily. The section highlights the general purpose and scope of the portal.
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In Other News...
Covers an ASC payment update and other Medicare-related industry notes. The section includes the addition of HCPCS Level II codes payable by Medicare to ambulatory surgery centers and their effective date.
What You Will Learn
- The scope of a CMS proposed Medicare coverage policy for artificial heart devices
- How CMS is presenting a new online resource for Medicare information
- What type of ASC payment update was issued and which code set it affects
- Which general categories of CMS guidance and payment news are covered in the article
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Revenue cycle teams
- Healthcare administrators
- Ambulatory surgery center staff
Codes Discussed
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