Medicare Compliance & Reimbursement - 2008 Issue 18
PHYSICIAN NOTES: CMS Puts Its Foot Down With Strong Stance on New Intracranial Stenting and Angioplasty Device
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Article Overview
This brief article covers two Medicare administrative updates. First, it describes a CMS coverage decision involving intracranial stenting and angioplasty for certain intracranial artery conditions and references the related FDA-approved trial protocol context. Second, it notes a new Medicare Claims Processing Manual chapter addressing the DMEPOS competitive bidding program, including supplier notification materials and contractor instructions. The content is relevant to coders, compliance staff, durable medical equipment suppliers, and others tracking CMS policy and manual changes.
Why This Topic Matters
CMS coverage decisions and manual updates can affect how services are documented, billed, and operationalized by providers and suppliers. Readers following Medicare policy changes will want to know whether coverage status, program instructions, or supplier communications have been updated.
Article Sections
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Intracranial stenting and angioplasty coverage decision
Summarizes a CMS decision concerning Medicare coverage for an intracranial interventional service and the context in which it remains addressed by existing policy. It also notes the cited agency and trial-protocol framework mentioned in the article.
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DMEPOS competitive bidding program manual update
Describes a Medicare Claims Processing Manual addition covering the DMEPOS competitive bidding program. The section mentions contractor guidance and sample beneficiary notification materials.
What You Will Learn
- What CMS updated regarding a Medicare coverage decision for an intracranial vascular intervention
- How the article frames the relationship between Medicare policy and FDA-approved protocol requirements
- What the new Medicare manual chapter addresses within the DMEPOS competitive bidding program
- What types of operational materials were added for suppliers and contractors
Who Should Read This
- Medical coders
- Compliance professionals
- Durable medical equipment suppliers
- Healthcare administrators
- Medicare billing staff
- Policy analysts
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