Medicare Compliance & Reimbursement - 2008 Issue 5
PHYSICIAN NOTES: CMS Proposes Artificial Heart Device Coverage
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Article Overview
This physician-focused update covers a CMS proposal to allow Medicare coverage of artificial heart devices in the context of FDA-approved studies, along with a separate Medicare outpatient payment update affecting ambulatory surgical centers. It also notes a CMS online resource intended to help medical professionals navigate Medicare information. The article is relevant to providers, coders, billing staff, and administrators who follow CMS coverage decisions, Medicare policy updates, and ASC payment changes.
Why This Topic Matters
It alerts readers to a pending national coverage decision that may affect advanced device access and documentation expectations, and it highlights payment-related updates that can change ASC reimbursement workflows. It also points readers to CMS resources that may be useful for staying current on Medicare policy and code payment status.
Article Sections
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CMS proposal for artificial heart device coverage
Discusses a CMS coverage proposal related to artificial heart devices and references the planned Medicare decision timeline and public comment opportunity.
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In Other News
Provides brief CMS-related updates on a new Medicare information resource and a separate payment policy update affecting ambulatory surgical centers.
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ASC final rule and HCPCS Level II payment update
Summarizes an ambulatory surgical center payment update and identifies selected HCPCS Level II codes added to the ASC payable list.
What You Will Learn
- The scope of a CMS proposal involving Medicare coverage and evidence development
- How CMS is organizing and presenting Medicare guidance resources for providers
- That CMS issued an ASC payment update affecting certain HCPCS Level II codes
- The general types of Medicare policy changes discussed in the update
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Revenue cycle professionals
- Ambulatory surgical center administrators
- Compliance staff
Codes Discussed
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