Reimbursement C-Codes

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Call our hotline at +1-855-569-6430 for answers to reimbursement questions or contact us.

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Online Learning

Webcast programs addressing reimbursement updates for EP, cardiology and cardiac surgery services can be scheduled directly with a representative of our Healthcare Economics department. Contact us to indicate your interest. 

On-demand webinars

We will offer on-demand webinars throughout the year focused on health care economics and reimbursement across our product lines.

2017 Reimbursement Overview of Remote Monitoring for Cardiac Implantable Devices
Remote monitoring is critical to ensure appropriate follow-up care for patients implanted with a St. Jude Medical device in the areas of arrhythmia and heart failure management. In this webcast we address frequently asked questions and scenarios regarding remote monitoring, and provide an educational review of coding, coverage, and reimbursement for remote monitoring of cardiac implantable devices (e.g., pacemakers, ICDs, implantable loop recorders and pulmonary artery sensor implants).

2017 CardioMEMS™ HF System Medicare Payment Update
The Centers for Medicare and Medicaid Services (CMS) has finalized a new, permanent comprehensive ambulatory payment classification (C-APC 5200) for the CardioMEMS™ PA sensor implant procedure effective January 1, 2017. Join us as we review the impact of the new C-APC payment for your hospital and patients. The St. Jude Medical Reimbursement and Health Care Economics team will also provide a comprehensive review of all 2017 Medicare payment updates for the CardioMEMS HF System.

Coding and Documentation Requirements for Billing Cardiac Ablation Procedures
Nicole Knight of MedAxiom Consulting covers requirements for billing cardiac ablation procedures, as well as key 2015 updates/changes.

CMS New Technology Reimbursement: CardioMEMS™ HF System
In this brief educational video, Peter Gallagher, FHFMA, president of Manakin Associates, discusses reimbursement considerations associated with the CardioMEMS™ HF System, as well as the economic and finance-related challenges of managing heart failure within a hospital system. 



Disclaimer: This webpage 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 does not constitute a representation or guarantee of reimbursement, and it is not intended to increase or maximize payment by any payer. Nothing in this document should be construed as a guarantee by St. Jude Medical regarding reimbursement or payment amounts, or that reimbursement or other payment will be received. The ultimate responsibility for obtaining payment/reimbursement remains with the customer. This includes the responsibility for accuracy and veracity of all 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 or reimbursement specialist for any questions related to billing, reimbursement or any related issue. This information does not guarantee coverage or payment at any specific level, and St. Jude Medical does not advocate or warrant the appropriateness of the use of any particular code. This update reproduces information for reference purposes only. It is not provided or authorized for marketing use.