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Major VersionM

by Patrick Tessier

Introduction

All TAP appliances are eligible for Medicare reimbursement under code: E0486

This includes devices manufactured by authorized AMI lab partners.

  1. Since 2007, PDAC (Medicare Pricing, Data Analysis and Coding) has reviewed and listed all TAP appliances for Medicare reimbursement. TAP 1 (TAP), TAP 3, TAP 3 Elite and dreamTAP are all eligible.
    • Since 2007, PDAC (Medicare Pricing, Data Analysis and Coding) has reviewed and listed all TAP appliances for Medicare reimbursement. TAP 1 (TAP), TAP 3, TAP 3 Elite and dreamTAP are all eligible.

    • Airway Management is unique in the market; in that we authorize partner laboratories to manufacture the devices as defined by the FDA as “contract manufacturer”. This relationship is treated the same with PDAC.

      • In other words, AMI is considered the manufacturer and holds the FDA 510k and PDAC approvals. Our contract manufacturers are covered under the AMI regulatory umbrella.

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  2. Ms. Rose Nierman, CEO of the Nierman Practice Management, says: “Authorized TAP Laboratories are licensed to manufacture and distribute the TAP appliances. As long as the appliances are made to the TAP PDAC specifications, the PDAC coding specifications apply.”
    • Ms. Rose Nierman, CEO of the Nierman Practice Management, says: “Authorized TAP Laboratories are licensed to manufacture and distribute the TAP appliances. As long as the appliances are made to the TAP PDAC specifications, the PDAC coding specifications apply.”

    • Mr. Steve Moore, CEO of the S&S Group, says: “Airway Management's licensed laboratories carry the same code verification (E0486) as the TAPs made at Airway Labs. The Medical Director of the PDAC stated that many medical devices are made at multiple sites by contract manufacturers.

      • Since AMI’s labs are contracted and licensed by Airway Management, their TAPs are made to Airway's specs, and they use Airway's part number they would carry the same code verification of E0486.”

    • Ms. Lesia Crawford, CEO of GoGo Billing, states: “TAP licenses its design so that their device can be produced in multiple labs. An appliance produced by a TAP licensee to TAP specification is the same product as one produced directly by TAP. Thus, the assigned TAP coding applies.

      • GoGo Billing ensures all clients are informed with current Medicare guidelines when submitting claims, TAP appliances manufactured by a licensed AMI Lab are approved and recommended by GoGo.”

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Finish Line

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Patrick Tessier

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