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News
HOPPS 2008 Final Rule HOPPS
November 2007
(Hospital Outpatient Prospective Payment System) 2008 Final Rule came out and both MRgFUS codes are in APC 0067, with a recommended payment rate of $3929 (Technical fee only).
CMS released 2008 Hospital Outpatient Proposed Rule recommending that 0071T and 0072T be assigned to the SRS APC 0067 with a proposed payment of $3869.96.
Uterine fibroid procedures cost society more than $10,000 per patient each year, even when a woman doesn't have surgery, U.S. health economists say. - poster presented at annual meeting of American College of Obstetricians and Gynecologists, San Diego, May 9. 2007
NEW
Tell your physician about
ExAblate 2000: Physician Guide
(PDF 506KB)
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Insurance Coverage for MR guided Focused Ultrasound Surgery
Since MRgFUS is a new technology, many health plans may not yet cover it as a routine benefit. Despite this, increasing numbers of patients have obtained pre-authorization of treatment coverage by their carriers, on a case by case basis.
What can you do?
- Contact your employer/union and ask them to consider offering MRgFUS as a covered benefit.
The advantages are:
• Non-invasive outpatient procedure
• No hospitalization
• No anesthesia - only limited conscious sedation
• No ionized radiation
• Next day return to normal activity
• Very low rate of complications
Download (PDF 491KB) this presentation which has more details they may be interested in.
- Contact your insurance company to ask them to consider offering MRgFUS as a covered benefit.
Download (PDF 526KB) this presentation which has more details they may be interested in.
- Request pre-authorization for treatment
Press here for details and to download pre-authorization guide.
- Write to the editor of your local paper to encourage women to find out about this procedure and to encourage insurance coverage.
Press here (PDF 20KB) to download a sample letter.
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