Reimbursement Resources

Resources from Roche Diagnostics

• Reimbursement Inquiry Line with 24/7 voicemail – (800) 428-5074, ext 13967
• CoaguChek Systems Medicare Reimbursement Handbook for Healthcare Professionals
• Reimbursement Frequently Asked Questions
• POC Reimbursement White Paper
  • Point-of-Care Testing:  Reimbursement Rules and Policies
• Roche Medicare Reimbursement Handbooks, other Resources
  • CoaguChek Professional Systems
  • Point-of-Care
  • ACCU-CHEK formulary grids

Medicare Resources

Centers for Medicare and Medicaid Services (General) – www.cms.hhs.gov

• Medicare Coverage Center (general information)
  • National Coverage Determination Database
  • Laboratory NCDs
• Fee Schedules (Main Page - Laboratory, Ambulatory Payment Classification (APC), Physician, etc)
• Manuals
• CLIA
• Medicare Administrative Contractors (Contracting Reform)
• Physician Quality Reporting Initiative
• National Provider Identifier (NPI) (General)
• E&M documentation guidelines

Private Payer Resources

Home PST Coverage Policies

*The following links to private coverage policies are provided as examples only and should not be considered to be representative of national payer or plan policies. Individual payer and plan coding, coverage, and payment policies vary. Contact the specific plan to determine individual coding, coverage and payment policies.

• CIGNA
• Regence
• Providers Policy
• Corporate Medical Policy
• Clinical UM Guideline
• Prothrombin Time Self-Monitoring Devices
• Home Prothrombin Time Monitoring (INR)for Anticoagulation Management