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Durable Medical Equipment (DME) Center | CMS

    https://www.cms.gov/Center/Provider-Type/Durable-Medical-Equipment-DME-Center
    The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule that takes effect on February 28, 2022 and classifies non-implantable continuous glucose monitors (CGMs) as durable medical equipment (DME) regardless of whether the CGM has been …

New Medical Services and New Technologies | CMS

    https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/newtech
    For current requirements regarding the IPPS NTAP, including the NTAP eligibility criteria, please see the statute at sections 1886 (d) (5) (K) and (L) of the Social Security Act (the …

Fee Schedules - General Information | CMS

    https://www.cms.gov/medicare/medicare-fee-for-service-payment/feeschedulegeninfo
    CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies. …

Medicare Coverage of Innovative Technology (CMS …

    https://www.cms.gov/newsroom/fact-sheets/medicare-coverage-innovative-technology-cms-3372-f
    On October 3, 2019, President Trump issued the Executive Order on Protecting and Improving Medicare for Our Nation’s Seniors (EO 13890). Based on the …

Reimbursement Basics – Medical Device Innovation …

    https://pressbooks.umn.edu/mdih/chapter/reimbursement-basics/
    When it comes to developing a reimbursement strategy for your device, focus your time and attention on the two most powerful and influential types of third party payers in the …

Medicare Benefit Policy Manual - Centers for …

    https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c14.pdf
    CMS approval date. Providers participating in and seeking Medicare reimbursement for items and services in Category A or B IDE studies, prior to submitting claims, are …

Understanding Reimbursement for Medical Devices: …

    https://www.theatticusgroup.net/understanding-reimbursement-medical-devices-coding-coverage-payment-payors/
    Understanding Reimbursement for Medical Devices: Coding, Coverage, Payment and Payors. Jan 1, 2021 | Blog. I am often approached by clients who are looking for answers as to whether their …

Medicare Coverage Related to Investigational Device …

    https://www.cms.gov/medicare/coverage/ide
    CMS finalized changes to the IDE regulations (42 CFR § 405 Subpart B), effective January 1, 2015. CMS added criteria for coverage of IDE studies and changed from local …

How to get nationwide reimbursement for novel medical …

    https://medcitynews.com/2020/08/how-to-get-nationwide-reimbursement-for-novel-medical-technology/
    Medical device manufactures should pursue inclusion in insurance policies through multiple paths. For Medicare, a National Coverage Determination will …



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