Rhythm Management

Boston Scientific Rhythm Management offers resources for hospitals, physicians, clinicians, and reimbursement professionals seeking a better understanding of reimbursement for Rhythm Management procedures. For questions on coding, coverage, and reimbursement for RM therapies, contact our reimbursement customer support at crm.reimbursement@bsci.com


  • Apr 07, 2014 Medicare and Private Payer Coverage for CRT-D

    Coverage for CRT-D therapy varies among the Centers for Medicare & Medicaid Services (CMS) and private health plans. This resource includes information on CMS’ coverage policies and recent coverage expansion by many private health plans for CRT-Ds from Class III and IV to include Class II patients with mild heart failure. PDF, 542.0 KB

  • Sep 13, 2017 FY2018 Medicare Inpatient Final Rule (IPPS)

    On August 2, 2017, The Centers for Medicare and Medicaid Services (CMS) released the FY2018 Final Rule for the Hospital Inpatient Prospective Payment System (IPPS). CMS’ final payment and policy changes which apply to over 3,400 acute care hospitals will take effect October 1, 2017. PDF, 132.0 KB

  • Nov 14, 2016 CY2017 Medicare Final Rules for HOPPS, ASC and PFS

    On November 1, 2016, the 2017 final policies and payment rates for Medicare’s Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Centers (ASC) were released and the final Physician Fee Schedule (PFS) was released on November 2. The final policy and payment rates have an effective date of January 1, 2017. PDF, 739.0 KB

  • Mar 09, 2017 2017 Procedural Payment Guide

    2017 Procedural Payment Guide PDF, 764.0 KB

  • Feb 13, 2017 2017 Rhythm Management Billing and Coding Guide

    PDF, 3.0 MB

  • Jul 26, 2017 CY2018 Medicare Proposed Rules for HOPPS, ASC and PFS

    On July 13, 2017, the Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2018 proposed policies and payment rates for Medicare’s Outpatient Prospective Payment System (OPPS), Ambulatory Surgical Centers (ASC) and Physician Fee Schedule (PFS). Comments on the proposed rules are due by September 11, 2017. Final policy and payment rates are announced around November 1st, 2017 and will become effective January 1st, 2018. PDF, 471.0 KB

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