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How much is the CRT-D add-on payment worth?

April 26, 2017add-on crt-d payment worth

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How much is the CRT-D add-on payment worth?

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The add-on payment is calculated on a case-by-case basis. The payment amount can range from $0 up to a maximum of $16,262.50. The actual payment for an individual case is roughly determined by the expected financial “loss” on that case. If the DRG payment adequately covers the cost to treat the patient, there is no payment. If the DRG payment is insufficient to cover the cost to treat the patient, than the add-on payment will equal half of the difference between the cost to treat the patient and the DRG payment up to a maximum of $16,262.50.