Basics of Reimbursement
Medicare PolicyCRM C-Codes
Cardiac Rhythm Management C-Codes for Medical Devices
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EP C-Codes
Electrophysiology C-Codes for Medical Devices
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Medicare Policy
Coverage Guidelines for CRM and EP Devices
View Medicare coverage policies for CRM and EP procedures.
Replacement of Devices Under Warranty or Under Advisory
Medicare Policy indicates that the amount of the Medicare payment may be reduced when a hospital receives a credit towards a replacement device.
Recovery Audit Contractors (RACS) and QIO FAQ
The Medicare program utilizes Quality Improvement Organizations (QIOs) and Recovery Audit Contractors (RACs) to monitor hospital claims to avoid paying for inappropriate hospital services. This FAQ addresses the current HRS guidelines for determining most appropriate site of service as well as answer questions on the role of QIOs and RACs.
ACC NCDR™ ICD Registry
Medicare requires patients receiving an ICD for primary prevention of sudden cardiac arrest be enrolled in the ICD registry.
Q0 (Zero) Modifier Replaces QR Modifier for Outpatient and Physician Claims
CMS issued an update indicating that the QR modifier has been replaced with the Q0 modifier This modifier is used for outpatient hospital and physicians claims when implanting ICDs for primary prevention.
CMS Issues Program Transmittal for Partial Device Credits
Medicare issued a program transmittal regarding adjustment to payments for partial device credit.
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Reimbursement Disclaimer
Reimbursement Support
Ask your CRM and EP reimbursement questions by calling 1.800.CARDIAC (227.3422) and ask for the Reimbursement Customer Support Line.
CRM10-1525-1190