A Look at the Current Reimbursement Environment for Continuous Glucose Monitoring (CGM): Understanding the Fundamentals |
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Authors: | Patty Curoe Telgener and Serena Lowe |
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Affiliation: | 1Global Therapy Access, Medtronic Diabetes;2Intensive Diabetes Management, Abbott Diabetes Care |
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Abstract: | As reimbursement continues to decline for diabetes management technologies and practice overhead continues to rise, it is becoming increasingly important to understand the current reimbursement environment for new technological innovations in diabetes care. The current environment demands a strong partnership among providers, key stakeholder groups, and industry to advocate for favorable coding, coverage, and payment of these new advancements, in order to improve accessibility to the patient. This article describes trends in the current reimbursement environment for continuous glucose monitoring and provides recommendations on how to maneuver through the intricacies of coding and coverage related to this emerging category of glucose monitoring. |
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Keywords: | coding coverage continuous glucose monitoring CPT HCPCS reimbursement |
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