Reimbursement

Resources

REIMBURSEMENT NEWS

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remedē® System receives positive coverage decision from Aetna for CSA treatment

Read more about the medical policy on functional electrical stimulation and neuromuscular electrical stimulation.

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CMS Grants Outpatient Pass-through Payment to the remedē® System for the Treatment of Central Sleep Apnea

11/05/18

The remedē System is the only technology to receive the Transitional Pass-through Payment in the last 3 years.

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CMS Grants New Technology Add-on Payment (NTAP) to the remedē® System for the Treatment of Central Sleep Apnea

08/06/18

Add-on Payment to Provide Additional Medicare Reimbursement for the remedē System

SUPPORT

Respicardia provides reimbursement case management to support patient access to the remedē System. We provide hands-on assistance to physicians with prior authorizations and appeals as well as reimbursement support of billing, coding, and coverage-related activities through the following services:

Prior authorizations

Prior authorization appeals/peer-to-peers

Claim appeals

Billing/coding/ coverage questions

Patient benefit investigations

Hospital Coding and Reimbursement Guide

For support with coding, billing and denied claims, call 1-952-540-4470 or email reimbursement@respicardia.com.

Disclaimer: The information provided on this page is general reimbursement information only; it is not legal advice, nor is it advice about how to code, complete or submit any claim for payment, nor is it intended to increase or maximize reimbursement by any third-party payer. All coding and reimbursement information is subject to change without notice. The content provided by the Centers for Medicare and Medicaid Services is updated frequently. It is the responsibility of the health services provider to confirm the appropriate coding required by their local Medicare carriers, fiscal intermediaries, and commercial payers.

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For Patients

IMPORTANT SAFETY INFORMATION

The remedē® System is indicated for moderate to severe Central Sleep Apnea in adult patients.

Your doctor will need to evaluate your condition to determine if the remedē system is right for you. You will not be able to have an MRI or diathermy (special heat therapies) if you have the remedē system implanted. The remedē system may be used if you have another stimulation device such as a heart pacemaker or defibrillator; special testing will be needed to ensure the devices are not interacting.

As with any surgically implanted device, there are risks related to the surgical procedure itself which may include, but are not limited to, pain, swelling, and infection.

Once the therapy is turned on, some patients may experience discomfort from stimulation and/or from the presence of the device. The majority of these events are resolved either on their own or by adjusting the therapy settings. The remedē system may not work for everyone. There are additional risks associated with removing your system. If you and your doctor decide to remove the system, another surgery will be required.

Be sure to talk with your doctor so that you thoroughly understand all of the risks and benefits associated with the implantation of the remedē system. Rx only. For further information, please call +1-952-540-4470 or email info@respicardia.com.