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Healthcare Economics

Payment

 Medicare Physician Payment

Medicare pays physicians based on the Medicare Physician Fee Schedule. This prospective payment system is updated annually and effective from January 1–December 31 of each year. Below is information related to Physician Fee Schedule payment rates.

To determine the Medicare physician payment rates in your area, consult the Medicare Physician Fee Schedule Search tool.

Medicare Releases 2010 Medicare Physician Fee Schedule Final Rule
For complete information, please refer to the Display Copy

FAQ on PT Financial Resp. for Device Follow-Up Services

Medicare patients may have a financial responsibility for device follow-up services. The following document outlines the potential financial responsibility a patient may have during calendar year 2009.
2 pages.

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Physician Payment Reference Guides

2009 Medicare Physician RVU for Cardiac Device Monitoring Services

This document recaps the relative value units assigned by Medicare for the new cardiac device monitoring services associated with our CRDM products.
5 pages.

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Device Procedure Scenarios

This brochure contains a listing of the CPT code and 2007 Medicare National Payment Rate for selected Physician Procedure Scenarios. Scenarios include the implant, replacement/upgrade and follow-up of pacemakers, ICDs, and CRT devices as well as echocardiography and electrophysiology (EP) procedures, catheter ablations and cardioversions.
4 pages.

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Reimbursement Guide for ICD Implants

This guide has been developed to assist you in seeking coverage and payment for ICD and CRT-D therapies. This guide also incorporates information regarding the use of ICDs for patients with the expanded coverage indications reflected in the SCD-HeFT and MADIT-II studies. Updated coding information and answers to Frequently Asked Questions (FAQs) about coverage, coding and payment are also in this guide.
26 pages.

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