Exclusive TME Benefit
Lymphedema Management Using SOZO® with L-Dex®
Fits Seamlessly into Current Clinical Workflow
CPT Code 93702 with Demonstrated Reimbursement
Nashville Breast Center, Dr. Pat Whitworth
Impedimed SOZO® L-Dex®: Practice Economics
(1 SOZO, performed with vital signs at check in or in PT/OT Therapist visit)
| Nashville Breast Center 1 yr September 2019 |
Nashville Breast Center 1 yr September 2020 |
|
|---|---|---|
| Example Subscription $1,500/mo | $18,000 | $18,000 |
| Reimbursement (Combined Payments) | $29,901 | $37,943 |
| Number Test performed | 858 | 909 |
| Number tests needed to break even | 516 | 432 |
| CMS Medicare 2021 Breakeven |
|
|---|---|
| Example Subscription $1,500/mo | $18,000 |
| Reimbursement (Combined Payments) | $143 |
| Number Test performed | |
| Number tests needed to break even | 126 |
Bottom line:
- Best care (lymphedema prevention, patient peace of mind and quality of life)
- Provided with positive revenue considering cost of equipment and personnel
Successful practices at Nashville Breast Center
- No charge to patient if claim is denied; OR $20 with ABN (two forms: Medicare and Commercial)
- Mixed payer coverage
- Billers/administration must be included
Impedimed cannot guarantee reimbursement coverage.
Dallas Surgical Group, Dr. Peter Beitsch
ImpediMed SOZO Practice Economics, Jan 2020-June 2020
| Insurance Company | Patients | Patients w Reimbursement | Total Amount Collected |
|---|---|---|---|
| Aetna | 29 | 0 | 0 |
| Blue Cross | 68 | 18 | $2,891 |
| Cigna | 29 | 4 | $514 |
| United | 40 | 4 | $506 |
| Wellmed | 8 | 8 | $1,074 |
| Misc non-government | 9 | 5 | $799 |
| Medicare – Novitas | 76 | 65 | $8,600 |
| Medicaid | 9 | 3 | $429 |
| Total | 268 | 107 (40%) | $14,813 (avg $138) |
Success practices at Dallas Surgical Group
- 1 SOZO L-Dex performed by MA with vital signs at check-in
- Patients with sub-clinical lymphedema provided Rx for compression garments
- No charge to patient if claim denied; or charge to patient with use of ABN
Impedimed cannot guarantee reimbursement coverage.
Third Party Reimbursement Support
L-Dex Coding Guide
- Category 1 CPT Code 93702
- ICD-10 codes: breast cancer (C50.xxx), lymphedema (I89.9), melanoma (C43.x)
Denied Claims Appeals
- Complimentary service offered through MCRA
- To learn more and sign-up, email: impedimed@mcra.com
Improved Patient Outcomes
NCCN Guidelines® »
Recommend to “educate, monitor, and refer for lymphedema management”
Meta-Analysis »
In a meta-analysis of more than 67,000 women, bioimpedance was found to reduce the rate of breast cancer-related lymphedema by 81% compared to tape measure (3% with bioimpedance vs. 17% circumference, p<0.05)
PREVENT Trial »
The PREVENT randomized trial interim analysis demonstrated a 95% reduction in progression to chronic lymphedema at 1 year
PREVENT Radiation Analysis »
L-Dex discriminates risk of breast cancer related lymphedema risk by the extent of axillary surgery and radiation unlike circumference measurements
L-Dex Clinical Practice Guidelines »
Clinical guidelines are available to create a schedule for measurements and intervention
L-Dex Cost Analysis »
L-Dex can be incorporated into the clinic with limited time added to visits and represents a cost-savings as compared to circumference measurements
5th Primary Vital Sign® »
Workflow best practices: place SOZO right next to scale at check-in and bill independently from APM in follow up visits
Exclusive TME Savings – $21,195 in Total Savings
SOZO® Digital Health Platform with L-Dex®
| Standard Pricing | Exclusive TME Pricing | |
|---|---|---|
| SOZO Device | $9,995 | $1,995 |
| Monthly L-Dex software subscription | $1,500 for 36 months | No payments for 1st three months! $1,150 per month for 36 months |
| Shipping Installation support Webinar training Practice implementation support |
$595 | Included |
Pricing is per SOZO unit. Applies to new L-Dex contracts only. Offer expires March 31, 2021.
What to Expect by Partnering with ImpediMed
- Dedicated clinical specialist that consults with you and your staff
- Comprehensive staff training
- Customized playbook at no charge