Reimbursement Resources

Cerapedics, Inc. has partnered with MCRA, LLC to provide dedicated reimbursement support for i-FACTORTM Peptide Enhanced Bone Graft. The CODING HOTLINE and PATIENT COVERAGE ACCESS services utilize credentialed coders to provide live responses to your questions. You’ll also receive a  Billing Guide and Comprehensive Reimbursement Resource Guide that covers the following topics and more.

i-FACTORTM BONE GRAFT TECHNOLOGY

i-FACTORTM Bone Graft is indicated for use in skeletally mature patients for reconstruction of a degenerated cervical disc at one level from C3-C4 to C6-C7 following single level discectomy.

CODING BASICS

Overview of coding for new or existing procedures or technologies, the different coding and reimbursement pathways and types of code sets.

CODING PATHWAY OPTIONS BY PLACE OF SERVICE

Coding pathway information is intended for provider guidance and allows the physician to consider his or her reporting pathways on a case by case basis.

INDICATIONS & CONTRAINDICATIONS CHECK LIST

On label checklist to help you in the patient selection process.

PRE-AUTHORIZATION OVERVIEW

Some health plans require preauthorization for all surgical procedures. Requesting pre-authorization may only involve a simple contact by the physician’s office to verify benefits and acquire an approval number to submit with the claim.

PLAN DENIAL APPEAL PROCESS OVERVIEW

When a third party health plan denies a procedure in accordance with its medical policy guidelines, there is a process available to appeal that decision.

RESOURCES FOR TECHNOLOGY SUPPORT

These resources can provide support when coding and preparing a pre-authorization for spinal fusion procedures when performed in the inpatient, outpatient or surgery center setting of care.

SUPPORTIVE LITERATURE

These resources can provide support when coding and preparing a pre-authorization for spinal fusion procedures when performed in the inpatient, outpatient or surgery center setting of care.

Questions? Check out our FAQs here.