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PHYSICIANS & HEALTHCARE PROFESSIONALS

Get the Reimbursement
Help You Need!

Urgent® PC
Tel: 800.574.8559
urgentpc.devicecoding.com

Macroplastique®
Tel: 866.258.2182

General Questions
Uroplasty Reimbursement Solutions Group
5420 Feltl Road
Minnetonka, MN 55343
Tel: 866.258.2182
Fax: 866.344.0219
reimbursement@uroplasty.com

Disclaimer: Uroplasty assembled this coding and payment information as a convenient reference source. It is subject to change without notice as a result of changes in reimbursement laws, regulations and policies. This content is informational only and does not address all possible situations. No guarantee or promise of coverage or payment is represented herein. Providers assume full responsibility for accurate coding and reimbursement decisions and actions. All procedures and services should be accurately documented in the patient’s medical record. Please consult your payer organization if you have questions regarding its specific reimbursement guidelines.

Uroplasty Product Reimbursement

Other Resources:
If you find that you are unable to overturn an appeal, the following are additional resources that may be of assistance.

  1. External Review Process: Medicare and many other payers have contracts with independent companies to resolve disputes. You may find additional information on the Medicare appeal process at www.medicareappeal.com.

    If the patient has commercial insurance (not Medicare), the initial denial is not automatically forwarded to a dispute resolution company. If a dispute resolution service is available, either you or the patient can request a review. Contact the payer for more information on their external review process/service.
  2. Employer Group Assistance: Employers who provide benefits to their employees through non-Medicare payers can often request that "an exception to benefits" be made that allows coverage for neuromodulation or a bulking agent. The patient’s employer's Human Resources Department should be able to provide benefit information and contacts.
  3. Insurance Commissioner: Contact the insurance commissioner in your state to discuss possible ways to pursue coverage and payment through the payer. You can find an updated list of insurance commissioners at www.naic.org.
  4. Attorney General: Contact the state attorney general for assistance with an appeal process. A formal health care complaint must be submitted within a certain time period. A current list of state attorney generals can be found at www.naag.org.
  5. The Uroplasty Reimbursement Solutions Group:  One of Uroplasty’s Case Managers can provide guidance on state specific insurance coverage, prior authorization and/or appeal process. Contact the Uroplasty Reimbursement Solutions Group by calling 866-258-2182.

 

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