tci Medicare Compliance & Reimbursement - 2007 Issue 18

HOME HEALTH: CMS Throws The Brakes On Expanding Your CAS Payments

The only hope for many patients: clinical trials.You can stop looking out for asymptomatic patients who could benefit from carotid artery stenting (CAS). The Centers for Medicare & Medicaid Services (CMS) had proposed to expand coverage for CAS to patients with 80 percent or greater carotid artery stenosis, even if they had no symptoms. Providers had cheered this proposal, saying it reflected a realization that CAS is a less invasive treatment that can help many patients.But CMS just changed its mind. The agency announced that it would keep its current coverage criteria for CAS, instead of expanding...

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