Reimbursement Information
Reimbursement information on coding, coverage and payment amounts for Ultromics EchoGo® Heart Failure
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Our Partnership Goals are to:
- Help achieve faster and more precise heart failure diagnoses that will improve patient outcomes
- Widen our existing knowledge base and increase our expertise on heart failure
- Continue to speed up AI innovation and scale up our platforms
- Maintain our close connections within the global scientific community
- Increase inter-industry and academic-industry collaborations
What We Have Achieved with our Partnerships
Published Research and Validation
Reliability in the heart failure sector
Access to world-leading science and data
We are committed to ongoing partnerships with leading organizations as we seek to achieve continuous improvement of our unparalleled AI technology.
Building a community of medical and tech experts
Reimbursement Resources
EchoGo® is a revolutionary AI-powered platform designed to assist healthcare professionals in the diagnosis and management of cardiac diseases. The technology utilizes advanced artificial intelligence to detect disease non-invasively using echocardiography, providing diagnostic outputs to support in the timely detection and effective management of diseases.
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EchoGo® Heart Failure
EchoGo® Heart Failure is eligible for reimbursement in both outpatient and inpatient settings.
Below you will find the necessary coding information and payment methodologies for
ensuring proper reimbursement.
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Hospital Outpatient
In hospital outpatient settings technical component will be paid by Category III CPT code with a national average payment of $299.91 (adjusted by the wage index for each hospital provider)
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Hospital InPatient
For inpatient settings, EchoGo® Heart Failure may qualify for the New Technology Add-on Payment (NTAP) if the total cost of care exceeds the MS-DRG payment. Medicare will reimburse $0.65 for every dollar of excess cost, up to a maximum of $1,023.75.
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Physician
In any place of service, the professional component for interpretation and report, is billed using code 0932T with modifier -26. The reimbursement rate will be carrier priced.
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Questions?
Ultromics is working closely with providers to establish coverage with commercial players.
For specific reimbursement
questions, please contact us directly.