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Smith
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IDET™

INTRADISCAL ELECTROTHERMAL™ Therapy

Frequently Asked Questions about Reimbursement

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Frequently Asked Questions about Reimbursement

  1. How much coverage exists for the IDET◊ procedure in my region?
  2. How is the IDET◊ procedure coverage handled by private insurers?
  3. How much coverage for the IDET◊ procedure can physicians except from Medicare?
    • 1
      How much coverage exists for the IDET◊ procedure in my region?
      • Answer:

        The IDET◊ procedure is covered in 21 states by payors representing 32 million covered lives. It is also covered by the Federal employee health benefit. For more specific information, contact your payor organization directly, or use our Reimbursement calculation tools.




           
        Reimbursement Calculation Tools

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    How much coverage exists for the IDET◊ procedure in my region?

    The IDET◊ procedure is covered in 21 states by payors representing 32 million covered lives. It is also covered by the Federal employee health benefit. For more specific information, contact your payor organization directly, or use our Reimbursement calculation tools.




    E6AE82112BDB4C78891805D8539CBAC5 8115 /html/IDET_INSURANCE_REIMB_16439.htm
    • 2
      How is the IDET◊ procedure coverage handled by private insurers?
      • Answer:

        Private insurers have varying payment guidelines, especially regarding new procedures. Typically they base payment on charges, discounted charges, fee schedules or capitation. Payment amounts will vary based on contractual arrangements with the individual payors. Due to these arrangements, the insurer should be contacted for their specific payment guidelines regarding the IDET◊ procedure.

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    How is the IDET◊ procedure coverage handled by private insurers?

    Private insurers have varying payment guidelines, especially regarding new procedures. Typically they base payment on charges, discounted charges, fee schedules or capitation. Payment amounts will vary based on contractual arrangements with the individual payors. Due to these arrangements, the insurer should be contacted for their specific payment guidelines regarding the IDET◊ procedure.

    CAF5DE0E3EE1408E9411E22AF3822397 8116 /html/IDET_INSURANCE_REIMB_16439.htm
    • 3
      How much coverage for the IDET◊ procedure can physicians except from Medicare?
      • Answer:

        The actual amount paid by Medicare to participating physicians is 80% of the fee schedule, or their actual charge, whichever is lower. Physicians are permitted to bill the Medicare beneficiary and/or secondary carrier for the remaining 20%. Non-participating physicians must collect their fee directly from the Medicare beneficiary. To view a Medicare Physician Fee Schedule, see Medicare physician policy.

           
        Medicare Physician Policy

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    How much coverage for the IDET◊ procedure can physicians except from Medicare?

    The actual amount paid by Medicare to participating physicians is 80% of the fee schedule, or their actual charge, whichever is lower. Physicians are permitted to bill the Medicare beneficiary and/or secondary carrier for the remaining 20%. Non-participating physicians must collect their fee directly from the Medicare beneficiary. To view a Medicare Physician Fee Schedule, see Medicare physician policy.

    18FD008F9157446385ED0D4C47E553A5 8117 /html/IDET_INSURANCE_REIMB_16439.htm
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