CAD Insertion, Adult
Cardiac or circulatory assist devices are artificial devices that perform some or all of the functions of the heart. They vary in design and indication but are typically used to provide either partial or full support for a heart that is unable to function adequately. They are used as a bridge to transplant, to recovery and in destination therapy. The goal of destination therapy is to support heart function and improve the quality of life for the rest of the patient's life. They can support either the left or right ventricles independently or both simultaneously. They are commonly referred to as LVAD, RVAD, and BiVAD.
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 The Bundled Rate Period covers the 1 day(s) prior to the procedure for the scheduled Accarent Procedure and up to 20 inpatient days in the hospital. Should the length of stay exceed 20 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.
There are no exclusions.
Candidacy for the bundled procedure will be determined by the Provider.