2017 CardioMEMS™ HF System Medicare Payment Update

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2017 CardioMEMS™ HF System Medicare Payment Update | 33:15

Join us as we review the impact of the 2017 comprehensive ambulatory payment classification (C-APC 5200) payment for your hospital and CardioMEMS™ HF System patients.

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.

Topics include:

  • Hospital outpatient payment
  • Hospital inpatient payment
  • Physician payment

This webinar may be particularly relevant for the following audiences:

  • Billers and coders
  • Hospital and cardiovascular service line administrators
  • Practice administrators
  • Physicians

The CardioMEMS HF System is the first and only FDA-approved heart failure (HF) monitor proven to significantly reduce HF hospital admissions and improve quality of life in NYHA Class III patients, including the hard to treat HFpEF patients. When used by clinicians to manage HF, the CardioMEMS HF System is safe and reliable, clinically proven, proactive and personalized.1,2


1. Abraham, W. T., Stevenson, L., Bourge, R. C., Lindenfled, J., Bauman, J., & Adamson, P. B. (2016). Sustained efficacy of pulmonary artery pressure to guide to adjustment of chronic heart failure therapy: Complete follow up results from the CHAMPION randomized trial. The Lancet, 387(10017), 453-461. http://dx.doi.org/10.1016/S01406736(15)0072330
2. Abraham, W. T., Adamson, P. B., Bourge, R. C., Aaron, M., Costanzo, M. R., Stevenson, L. W., …Yadav, J. S., for the CHAMPION Trial Study Group. (2011). Wireless pulmonary artery haemodynamic monitoring in chronic heart failure: A randomised controlled trial. The Lancet, 377(9766), 658-666. http://dx.doi.org/10.1016/S0140-6736(11)60101-3

This presentation and the information contained therein is for general information purposes only and is not intended and does not constitute legal, reimbursement, coding, business or other advice. Furthermore, 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 levels of reimbursement, payment or charge, or that reimbursement or other payment will be received. Similarly, nothing in this document should be viewed as instructions for selecting 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. Also note that the information presented herein represents only one of many potential scenarios, based on the assumptions, variables and data presented. In addition, the customer should note that laws, regulations, coverage and coding policies are complex and updated frequently. Therefore, the customer should check with their local carriers or intermediaries often and should consult with legal counsel or a financial, coding or reimbursement specialist for any coding, reimbursement or billing questions or related issues. This information is for reference purposes only. It is not provided or authorized for marketing use.