Medicare Outpatient Reimbursement Rates (Vns Message Board)

Title: Medicare Outpatient Reimbursement Rates

Birdbomb - November 3, 2005 11:28 PM (GMT)

LINK TO ARTICLE

2006 Medicare Outpatient Reimbursement Rates for Cyberonics' VNS Therapy™ Posted on CMS Website

Thursday November 3, 5:05 pm ET
Hospital Reimbursement for VNS Implants Increases for the Third Consecutive Year

HOUSTON, Nov. 3 /PRNewswire-FirstCall/ -- Cyberonics, Inc. (Nasdaq: CYBX - News) today announced that 2006 Medicare outpatient reimbursement rates for Cyberonics' VNS Therapy System have been posted on the CMS website (http://www.cms.hhs.gov/providers/hopps/2006fc/ ). Beginning January 2006, average Medicare reimbursement to hospitals for outpatient implantation of the VNS Therapy System increases 8.6% to $26,649 for the implantation and intra- operative programming of the VNS Therapy Systems as follows: $11,603 under APC 0039 for implantation of neurostimulator, $14,928 under APC 0225 for implantation of neurostimulator electrodes, and $118 under APC 0692 for the intra-operative electrode test.

"Cyberonics is very pleased with Medicare's decision to once again increase hospital reimbursement for implantation of the VNS Therapy System," commented Robert P. ("Skip") Cummins, Cyberonics' Chairman and Chief Executive Officer. "Over the past three years, Medicare hospital reimbursement for implantation of the VNS Therapy System has increased 37% from $19,500 to $26,649. This steady increase confirms that Cyberonics continues to develop therapies that satisfy the needs of not only patients with chronic, treatment- resistant illnesses and their physicians, but also payers."

labrat - June 10, 2006 04:17 PM (GMT)

I assume that since I was implanted in 2005 it won't apply to me. Mine was implaned 10-19-2005 for TRD. I had Humana insurance at the time. I was told Numerous times ( I have names and dates ) that I did not need a precert. They are telling me now, June 2006, I have a deductialbe of $200.00 and I need to pay that and that is all that will be paid. The Neurosurgeon was paid, but it leaves a 59,450.00 plus hospital bill. :So Sad:

Labrat

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