Medicare Compliance & Reimbursement
CMS Takes Closer Look At Stent Replacement
In a Sept. 1 draft decision memo, the Centers for Medicare and Medicaid Services deems Medicare coverage of percutaneous transluminal angioplasty with carotid stent placement "reasonable and necessary" when performed in a Food and Drug Administration required post-approval study. The carotid stent can help treat patients considered too high-risk for carotid endarterectomy.
Because the FDA has approved the device, Medicare can no longer provide coverage under the Category B investigational device exemption clinical trials, according to CMS. The expanded coverage of post-approval studies will furnish practitioners with data needed to assess risks and determine which patients are most appropriate for carotid artery stenting.
A national coverage determination is currently open to determine whether PTA of the carotid artery with carotid stent placement may be reasonable and necessary for Medicare beneficiaries outside of IDE trials and FDA post-approval studies. That determination will be issued in the next several months, the memo said.
Medicare Compliance & Reimbursement
- Physicians:
Providers Could See End To PECOS Mess Soon
But provider reps frustrated by slow progress.
The pace of the Provider Enrollment Chain and Ownership [...] - Rehab:
75-Percent Rule Is One Step Closer To Being Shelved
Congress may put quick end to controversial regulation.
Rehab providers still have reason to hold out [...] - Coverage:
Electrocardiography Wins Wider Coverage
Ambulatory monitors, 24-hour attendance gain Medicare payments.
Doctors could be receiving payments for keeping tabs on [...] - Drug Benefit:
Proposed Formulary Poses Problems For Plans, PBMs
Number of drug categories will make it tough to contain costs, groups say.
With the Part [...] - Long-Term Care:
SNFs Struggling With New Supplier Contract Regs
Nursing homes can protect their interests without jumping through legal hoops.
The newly promoted contract between [...] - Home Care:
HHAs Win Relief From Deluge Of Medicaid Forms
No need to reassess all Medicaid patients in 5-day window, CMS says.
Home health agencies have [...] - Legislative Update:
What To Expect From Congress In 2005
There should be little legislation before New Year's '05, but then everything changes.
Congress will be [...] - Enforcement Watch:
Why 2005 Could See An Even Stronger OIG
Find out how the watchdog will be keeping busy with beefed-up funding.
The Medicare Modernization Act [...] - Hospitals:
This October, Hospitals' IPPS Ship Comes In
More DRGs mean more money for hospitals.
Several diagnosis-related groups are on deck for updates, according [...] - Coverage:
CMS Takes Closer Look At Stent Replacement
Medicare coverage for a new stroke-prevention procedure could be coming down the pike.
In a Sept. [...] - Physicians:
NPPs Can Bill For Care Plan Oversight
Starting next year, non-physician practitioner staff can keep track of home health care plans and [...] - Bill Watch
The following bills were introduced in the House: HR 5048. A bill to amend title [...]
