DAIC
JANUARY 23, 2024
The new code can be used for hospital outpatient, physician offices, or imaging centers. Better reimbursement for hospitals leads to improved accessibility to this technology, which is a win for everyone involved, most notably patients.” In the hospital setting, CMS increased payment for the FFRCT service by ~7% for 2024.
American College of Cardiology
NOVEMBER 1, 2024
The Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Physician Fee Schedule (PFS) final rule and the 2025 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) final rule on Nov. Of note, the 2025 PFS conversion factor is $32.3465, a reduction of 2.83% from $33.2875 in 2024.
Cassling
FEBRUARY 17, 2023
At the beginning of this year, a reimbursement cut came into effect that went largely under the radar, despite many providers still utilizing the system in question. For the past few years, providers of outpatient Medicare-eligible X-rays conducted on a computed radiography system experienced a payment reduction of 7% on each exam.
DAIC
MARCH 13, 2024
CMS previously published a New Technology APC (Ambulatory Payment Classifications) code that covers the CardiAMP Cell Therapy investigational study procedure, including the BioCardia investigational products utilized to perform the study procedure, allowing the study centers to be reimbursed for the study procedure and products.
DAIC
NOVEMBER 8, 2024
The approval of TPT offers incremental reimbursement payments for outpatient procedures performed with ultrasound renal denervation for Medicare fee-for-service beneficiaries. Centers for Medicare & Medicaid Services (CMS) have granted the company’s Paradise Ultrasound Renal Denervation system a Transitional Pass-through (TPT) payment.
DAIC
FEBRUARY 14, 2024
Recent shifts in third-party payer reimbursement, led by the Centers for Medicare and Medicaid , have resulted in continued trends of minimally invasive cardiac procedures on stable patients increasingly being performed outside of a hospital setting.
Dr. Anish Koka
JULY 23, 2023
There have been many more attempts to open arteries that have taken place in private clinics since reimbursement rules changed. Reducing or changing reimbursement for procedures in the outpatient/non-hospital setting is a common solution proffered by a number of commenters.
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