tci Medicare Compliance & Reimbursement - 2006 Issue 10

INDUSTRY NOTES: Experienced Surgeons Make The Difference For Bariatric Surgery Coverage

Plus:  Why medical care visits in the United States have skyrocketed.Medicare will no longer restrict its bariatric surgery coverage to gastric bypass procedures. But coverage may depend on surgical centers' success rates.A new Centers for Medicare & Medicaid Services decision expands bariatric surgery coverage beyond a proposal from late in 2005 that would have withheld coverage for beneficiaries aged 65 years or older, according to a Feb. 21 announcement.Prior to this decision, "CMS' only nationally-covered bariatric surgery procedure was gastric bypass surgery," the agency says. Now Medicare will cover open and laparoscopic Roux-en-Y gastric bypass...

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