Physician Reimbursement Primer for Cardiac ... - Boston Scientific

References
Clinical Case References Examples
1 Centers of Medicare and Medicaid Services. Glossary (search “Medical Necessity”). Last
modified May 14, 2006. Available at: www.cms.hhs.gov/apps/glossary/default.asp?Letter
=M&Language=English. Accessed June 15, 2009.
2 Centers for Medicare and Medicaid Services. Glossary (search “Medicare”). Last modified
July 27, 2005. Available at: http://www.cms.hhs.gov/apps/glossary/default.asp?Letter=
M&Language=English. Accessed June 15, 2009.
3 Schmidt K, Ramsdell S, eds. DRG Expert: A comprehensive guidebook to the DRG
classification system. 25th ed. Ingenix,Inc.; 2008.
4 Centers for Medicare and Medicaid Services. Final Changes to the Hospital Outpatient
Prospective Payment System and CY2008 Payment Rates; Final Rule CMS-1392-FC,
Federal Register November 1, 2007; 42 CFR Parts 410, 411, 412, 413, 414, 416, 419,
482, and 485. Available at: http://www.cms.hhs.gov/HospitalOutpatientPPS/
Downloads/cms1392fc.pdf. Accessed June 15, 2009.
5 Centers for Medicare and Medicaid Services. National Coverage Determination for
Cardiac Pacemakers (20.8). In: Medicare Coverage Database. Effective April 30, 2004.
Available at: http://www.cms.hhs.gov/mcd/viewncd.asp?ncd_id=20.8&ncd_version
=2&basket=ncd%3A20%2E8%3A2%3ACardiac+Pacemakers. Accessed June 15, 2009.
6 Centers for Medicare and Medicaid Services. National Coverage Determination for
Cardiac Pacemaker Evaluation Services (20.8.1). In: Medicare Coverage Database.
Effective October 1, 1984. Available at: http://www.cms.hhs.gov/mcd/viewncd.asp?ncd_
id=20.8.1&ncd_version=1&basket=ncd%3A20%2E8%2E1%3A1%3ACardiac+Pacemaker
+Evaluation+Services. Accessed June 15, 2009.
7 Centers for Medicare and Medicaid Services. Coverage determinations: Transtelephonic
monitoring of cardiac pacemakers.In: Medicare National Coverage Determinations
Manual. CMS Pub. 100-3; Chapter 1, Part 1, Section 20.8.1.1. October 3, 2003.
Available at:.http://www.cms.hhs.gov/manuals/downloads/ncd103c1_Part1.pdf.
Accessed June 15, 2009.
8 Centers for Medicare and Medicaid Services. National Coverage Determination for
Implantable Automatic Defibrillators (20.4).In: Medicare Coverage Database. Effective
January 27, 2005. Available at: http://www.cms.hhs.gov/mcd/viewncd.asp?ncd_id=
20.4&ncd_version=3&basket=ncd%3A20%2E4%3A3%3AImplantable+ Automatic
+Defibrillators and http://www.cms.hhs.gov/transmittals/downloads/R29NCD.pdf.
Accessed June 15, 2009.
9 Heart Rhythm Society. Expanded ICD Coverage for Primary Prevention, February 23,
2005. Available at: http://www.hrsonline.org/Policy/ICDRegistry/.
Accessed June 15, 2009.
10 American Medical Association. Current Procedural Terminology (CPT®) 2009.
Professional Edition. Chicago, IL: 2008.
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