Heart Transplant, Adult with 30 Day Follow-Up
A surgical procedure to replace a limited or non-functioning adult heart with a heart from a deceased donor.
The Bundled Rate plus Outlier Per Diems includes:
1. Those comprehensive facility services, supplies, and equipment necessary to perform the Bundled Procedure and rendered by PROVIDER 2. Those professional services necessary to perform the Bundled Procedure and rendered by a Physician 3. The treatment of any complication or concurrent related illness associated with or resulting from the performance of the Bundled Procedure 4. Organ acquisition is included in the bundled rate The Bundled Rate Period covers the 1 day(s) prior to the procedure for the scheduled Accarent Procedure and up to 15 inpatient days in the hospital. Should the length of stay exceed 15 inpatient days, then per diem outlier payments will be applicable for each subsequent inpatient day. Covered outpatient follow-up services related to the bundled procedure beginning on the day of discharge through 30 calendar days are included in the bundled price.
Implantable devices and supplies (eg. any cardiac assist device inserted after the initial implantation, prosthetic/orthotic devices, pacemakers (both temporary and permanent), and defibrillators when inserted following a heart transplant.
Candidacy for the bundled procedure will be determined by the Provider.