As negotiations continue, Cardiac Monitoring Service will update on any changes. For now, Medicare has not published standardized national rates. Check with your local Medicare Administrative Contractor (MAC) for accurate pricing.
Yes. CNM, CNS, NP, and PA would be able to prescribe and bill for services including MCT and EWH.
Currently, all major private insurance carriers are accepting the new CPT codes. Cardiac Monitoring Service is keeping up to date with any changes in accepted CPT codes and allowed amounts.
The OPPS system is designed to cover the administration labor costs of these tests by in-facility staff, and do not pay for the test itself. OPPS-equivalents to the PFS codes are also proposed for 2021, which do not have substantial differences in payments between 1-2 day and the EWH services.