US Senators urge CMS head Verma to include med device ID on claims

Two US Senators this week wrote to Centers for Medicare and Medicaid head Seema Verma urging her to add a field for unique medical device identifier information on insurance claim forms. The letter, from Senators Elizabeth Warren (D-Mass) and Chuck Grassley (R-Iowa), cited a report from the Department of Health and Human Services’ Office of Inspector General from September. The report claims that nearly $1.5 billion in costs to Medicare came from patients treated with seven specific cardiac devices from 3 manufacturers that were recalled or showed high failure rates over a 10 year period. The OIG release also claimed that the defective items led to an estimated $140 million in copayment and deductible liabilities for beneficiaries. “To facilitate the use of claim data to identify and track the additional health care costs incurred by Medicare from recalled or prematurely failed medical devices, we specifically recommend that CMS: (1) continue to work with the Accredited Standards Committee X12 to ensure that the Device Identifier is included on the next version of claim forms and (2) require hospitals to use condition codes 49 or 50 on claims for reporting a device replacement procedure if the procedure resulted from a recall or premature failure independent of whether there was a device provided at no cost or with a credit,” the OIG wrote in its report. In their letter, Senators Warren and Grassley wrote that they were “encouraged” by CMS head Verma...
Source: Mass Device - Category: Medical Devices Authors: Tags: Business/Financial News Regulatory/Compliance Centers for Medicare and Medicaid Services (CMS) Source Type: news