Transmittal 46 Date: JANUARY 27, SUBJECT: Cardiac Catheterization Performed in Other Than a Hospital Setting

Transcription

1 anual ystem Pub edicae National oveage Deteminations Depatment of ealth & uman evices (D) entes fo edicae & edicaid evices () Tansmittal 46 Date: JANUAY 27, 2006 hange equest 4280 UBJET: adiac atheteization Pefomed in Othe Than a ospital etting. UAY O ANGE: Effective fo sevices pefomed on o afte Januay 12, 2006, is epealing section of the National oveage Deteminations (ND) anual (100.3). n the absence of an ND on cadiac catheteization in othe than a hospital setting, coveage is detemined by the local edicae contacto. NEW/EVED ATEAL EETVE DATE: Januay 12, 2006 PLEENTATON DATE: ebuay 27, 2006 Disclaime fo manual changes only: The evision date and tansmittal numbe apply only to ed italicized mateial. Any othe mateial was peviously published and emains unchanged. oweve, if this evision contains a table of contents, you will eceive the new/evised infomation only, and not the entie table of contents.. ANGE N ANUAL NTUTON: = EVED, N = NEW, D = DELETED /N/D APTE / ETON / UBETON / TTLE 1/20.25/adiac atheteization Pefomed in Othe Than a ospital etting. UNDNG: No additional funding will be povided by ; contacto activities ae to be caied out within thei Y 2006 opeating budgets. V. ATTAENT: Business equiements anual nstuction *Unless othewise specified, the effective date is the date of sevice.

2 Attachment - Business equiements Pub Tansmittal: 46 Date: Januay 27, 2006 hange equest 4280 UBJET: adiac atheteization Pefomed n Othe Than A ospital etting. GENEAL NOATON The is epealing ection 20.25, titled adiac atheteization Pefomed n Othe Than A ospital etting, of Pub , National oveage Detemination anual. epeal of this section will esult in deteminations of coveage fo cadiac catheteization when pefomed outside the hospital setting at the discetion of the local edicae contacto. A. Backgound: The oiginal language fom section equied that edicae caies in consultation with the pee eview oganizations (POs), enamed quality impovement oganizations (QOs), eview feestanding cadiac catheteizations facilities to detemine that pocedues can be pefomed safely. This function of the QO is no longe in thei scope of wok as thei focus has shifted to include othe functions. Theefoe, QOs ae not woking with caies to make such safety deteminations. B. Policy: The is epealing the ND at of Pub as the oiginal language does not povide elevant guidance to contactos in making decisions egading the coveage of cadiac catheteization in feestanding facilities. epealing the policy will esult in local contacto discetion. ontactos may find it appopiate to develop local coveage deteminations (LDs) though the LD pocess egading coveage of cadiac catheteization sevices in feestanding facilities.. BUNE EQUEENT hall" denotes a mandatoy equiement "hould" denotes an optional equiement equiement Numbe equiements Effective fo sevices pefomed on o afte Januay 12, 2006, caies will no longe be bound by section of Pub , the ND anual. oveage fo those sevices shall be at the discetion of the local caie. esponsibility ( X indicates the columns that apply) haed ystem aintaines Othe a i e x D E V W

3 . POVDE EDUATON equiement Numbe equiements A povide education aticle elated to this instuction will be available at shotly afte the is eleased. You will eceive notification of the aticle elease via the established "medlean mattes" listsev. ontactos shall post this aticle, o a diect link to this aticle, on thei Web site and include infomation about it in a listsev message within 1 week of the availability of the povide education aticle. n addition, the povide education aticle shall be included in you next egulaly scheduled bulletin and incopoated into any educational events on this topic. ontactos ae fee to supplement edlean attes aticles with localized infomation that would benefit thei povide community in billing and administeing the edicae pogam coectly. esponsibility ( X indicates the columns that apply) haed ystem aintaines Othe a i e x D E V W V. UPPOTNG NOATON AND POBLE DEGN ONDEATON A. Othe nstuctions: N/A X-ef equiement # nstuctions B. Design onsideations: N/A X-ef equiement # ecommendation fo edicae ystem equiements. ntefaces: N/A D. ontacto inancial epoting /Wokload mpact: N/A

4 E. Dependencies: N/A. Testing onsideations: N/A V. EDULE, ONTAT, AND UNDNG Effective Date*: Januay 12, 2006 mplementation Date: ebuay 27, 2006 Pe-mplementation ontact(s): JoAnna Baldwin, Post-mplementation ontact(s): JoAnna Baldwin, No additional funding will be povided by ; contacto activities ae to be caied out within thei Y 2006 opeating budgets. *Unless othewise specified, the effective date is the date of sevice.

5 adiac atheteization Pefomed in Othe Than a ospital etting (Effective Januay 12, 2006 epealed) (ev. 46, ssued: , Effective: , mplementation: ) 35-45