UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
CURRENT REPORT
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Item 8.01 |
Other Events. |
Centers for Medicare & Medicaid Services (CMS) Final Rule for the Inpatient Prospective Payment System (IPPS)
On August 2, 2019, the Centers for Medicare & Medicaid Services (CMS) released final Medicare payment levels for inpatient hospital discharges for fiscal year 2020 (October 1, 2019 through September 30, 2020). The Final Rule for the Inpatient Prospective Payment System (IPPS) is available on the CMS website at cms.gov. The Proposed Rule published in April 2019, was described by the Company in a Form 8-K filed on April 24, 2019. The Final Rule for the IPPS update includes ICD-10 coding and maintained assignment of percutaneous Impella implantation to MS-DRG 215 for Other Heart Assist System Implant, bi-ventricular Impella support in MS-DRG 1-2 assignments, and Impella hospital transfer and support in MS-DRG 268-269 for the receiving hospital.
Final Rule for FY 2020 Impella Heart Pump Reimbursement
After further analysis, CMS eliminated the proposed reduction of 27% and concluded there will be no reduction versus the prior year for MS-DRG 215. The Final Rule will be effective for the 12 months from and after October 1, 2019 for all Medicare hospital inpatient discharges.
CMS payment levels for common Impella heart pump procedures are described in Table A.
Table A. Summary of common MS-DRGs from the Final Rule for illustration only.
Common Impella Heart Pump Procedures * |
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MS-DRG |
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FY2020 Rate (All Hospitals) |
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FY2020 Rate (Sample 100 Impella Sites) |
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Change from FY 2019 Rate (All Hospitals; Oct 1, 2019 vs Oct 1, 2018) |
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Uni-Ventricular Impella heart pump percutaneous insertion |
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215 |
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$ |
80,715 |
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$ |
96,749 |
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+3% |
Biventricular Impella or open insertion with removal |
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1 |
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$ |
173,092 |
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$ |
198,297 |
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+7% |
ICU care and removal of Impella heart pump, after transfer from outlying hospital |
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268 |
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$ |
42,484 |
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$ |
49,457 |
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+4% |
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Actual MS-DRGs may vary based on procedure. |
All Hospitals’ include 3,313 Medicare hospitals, and only approximately 1,400 have cath labs or operating rooms.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
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ABIOMED, Inc. |
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By: |
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/s/ Marc A. Began |
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Marc A. Began Vice President, General Counsel and Secretary (Authorized Signatory)
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Date: August 5, 2019 |
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