GORE’s VIABAHN® VBX Balloon Expandable Endoprosthesis Approved by FDA

February 2024

W.L. Gore & Associates announced FDA approval of a lower profile GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis (VBX Stent Graft). This lower profile stent graft was designed in response to the need for smaller delivery systems; and is still used in the treatment of complex vascular disease. According to Gore, the VBX stent graft now […]

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CMS and NCHS Announces ICD-10 Updates Effective April 2024

The Center for Medicare and Medicaid Services (CMS) and National Center for Health Statistics (NCHS) have announced the ICD-10-CM and ICD-10-PCS updates which are effective April 1, 2024. There are two annual updates for ICD-10, October and April. October updates are typically more extensive than the April updates. For ICD-10-CM, there are no new diagnosis […]

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AHA Comments on Medicare Outpatient Observation Status Appeals Proposed Rule

The American Hospital Association (AHA) provided comments on the Centers for Medicare & Medicaid Services’ (CMS) proposed rule (CMS-4204-P) to establish new appeal rights for certain changes in patient status for Medicare beneficiaries. This rule, required by the court order issued in Alexander v. Azar, specifies those beneficiaries admitted for an inpatient hospital or skilled […]

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Telehealth Utilization Increases Nationally

According to FAIR Health’s Monthly Telehealth Regional Tracker, telehealth has increased usage in the U.S. healthcare market. The tracker is based on the most recent monthly data and four U.S. census regions:  West, South, Northeast, and the Midwest. The data provided is identified as the top five diagnoses; top five diagnoses via asynchronous telehealth; audio-only […]

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GORE’s EXCLUDER® TAMBE® Approved by FDA to Treat Complex Aortic Aneurysms

January 2024

W.L. Gore & Associates announced FDA approval for the Excluder thoracoabdominal branch endoprosthesis (TAMBE). This device is an “off-the-shelf” endoprosthesis used for the treatment of complex visceral aortic aneurysms, and the company expects the TAMBE to become available in June 2024. According to Gore, The EXCLUDER TAMBE is an implantable branched device designed for use […]

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GORE Announces First Patients Enrolled in VBX Forward Clinical Study

W.L. Gore & Associates announced the first patients have been enrolled in the GORE VBX Forward Clinical Study. This global prospective, multicenter, randomized controlled trial is to “answer the question as to whether covered stents are the superior modality among commonly used devices in contemporary practice.” Specifically, the use of GORE® VIABAHN® VBX balloon expandable […]

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Lawmakers’ Agenda for 2024 to Include Permanently Extend Medicare Telehealth Flexibilities

Members of Congress will consider legislation which could extend telehealth flexibilities that were a result of the COVID-19 public health emergency, including Medicare reimbursements for virtual visits and access to online care for people who are underinsured: The CONNECT for Health Act would remove geographic restrictions for telehealth services, expanding the originating sites to include […]

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CMS Finalizes Rule to Expand Access to Health Information and Improve Prior Authorization Process

The Centers for Medicare and Medicaid Services (CMS) issued the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) The provisions in this final rule impact Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children’s Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) […]

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First Coast Service Options Issues New Process for CPT® Category III Codes

Taken directly from the First Coast Service website: “First Coast requests the following documentation be submitted with the initial claim submission for the T codes linked below: Effective February 26, 2024, when records are not submitted to support the code billed, the service will be rejected. The claim must then be resubmitted with the appropriate […]

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