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Transcatheter Valve Solutions

Find reimbursement resources, including coding guides and links to Medicare Coverage Determinations.

 

WE'RE HERE TO HELP

Contact our Health Economics and Reimbursement Department for additional information or assistance. 

 

Coding Guides

MitraClip™ Hospital and Physician Coding and Reimbursement Guide

Medicare coding guide for TEER procedures

TAVR Coding Guide

Medicare coding guide for TAVR procedures

 

Resources

MitraClip Hospital Claim Checklist

Provides coding guidance for Medicare fee-for-service hospital claims

MitraClip Implanting Physician Checklist

Provides coding guidance for Medicare fee-for-service physician claims

MitraClip Echocardiographer Checklist

Provides coding guidance for Medicare fee-for-service echocardiographer claims

TAVR Hospital Claim Checklist

Provides coding guidance for Medicare fee-for service hospital claims

TAVR Implanting Physician Checklist

Provides coding guidance for Medicare fee-for-service physician claims

Centers for Medicare and Medicaid Services (CMS)

TEER National Coverage Determination

Developed through an evidence-based process, this policy provides details on required medical criteria that must be met for coverage of Medicare beneficiaries.

TAVR National Coverage Determination

Developed through an evidence-based process, this policy provides details on required medical criteria that must be met for coverage of Medicare beneficiaries.

CMS Physician Fee Schedule Information

This link provides information on the CMS CY Physician Fee Schedule Final Rule.

CMS Inpatient Reimbursement Information

This link provides a summary of the Medicare Hospital Inpatient Prospective Payment System (IPPS). It includes information on the Readmissions Reduction Program, Value Based Purchasing, and Hospital Inpatient Reimbursement Rates. For more detailed information, please refer to the FY IPPS Final Rule on the CMS website.

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HE&R Disclaimer

This document and the information contained herein is for general information purposes only and is not intended, and does not constitute, legal, reimbursement, business, clinical, or other advice. Furthermore, it is not intended to and does not constitute a representation or guarantee of reimbursement, payment, or charge, or that reimbursement or other payment will be received. It is not intended to increase or maximize payment by any payer. Similarly, nothing in this document should be viewed as instructions for selecting any particular code, and Abbott does not advocate or warrant the appropriateness of the use of any particular code. The ultimate responsibility for coding and obtaining payment/reimbursement remains with the customer. This includes the responsibility for accuracy and veracity of all coding and claims submitted to third-party payers. In addition, the customer should note that laws, regulations, and coverage policies are complex and are updated frequently, and, therefore, the customer should check with its local carriers or intermediaries often and should consult with legal counsel or a financial, coding, or reimbursement specialist for any questions related to coding, billing, reimbursement or any related issues. This material reproduces information for reference purposes only. It is not provided or authorized for marketing use.

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DO YOU WISH TO CONTINUE AND EXIT CARDIOVASCULAR.ABBOTT?

CONTENTS OF THE SITE ARE NOT UNDER THE CONTROL OF ABBOTT.