MEDICARE POLICY AND CONTINUED PATIENT ACCESS
PROPOSED MEDICARE 2020 PAYMENT CHANGES
On April 23, 2019, the Centers for Medicare and Medicaid Services (CMS) issued its proposed rule for the 2020 Inpatient Prospective Payment System (IPPS). With the release of this proposed rule, CMS has opened a 60-day public comment period and will be accepting comments on their proposals through June 24, 2019. They are expected to release their final rule in early August, 2019 which goes into effect October 1, 2019.
Below you will find a summary of the proposed changes in reimbursement policy for extracorporeal membrane oxygenation (ECMO) as well as guidance on how to submit comments on the proposed rule. Key to the proposed changes is a consolidation of multiple MS-DRG assignments currently separated by method of cannulation into a single DRG, an important acknowledgment from CMS that method of cannulation does not have significant bearing on hospital resources.
It is important to note that Medicare coding and payment assignments (MS-DRGs) do not necessarily align to product indications – procedures using a pump and oxygenator in a configuration other than a cardiopulmonary bypass circuit may map to MS-DRGs for ECMO, independent of duration of support. The indications for Abbott's CentriMag Pumps are located in the indications and important safety information section at the bottom of this page.
This is only a proposed rule and CMS expects public stakeholder comments to assist in their final rule deliberation. Instructions for how to comment are located below.