Jul. 15 at 2:35 PM
$MDXG We knew this was coming as soon as Trump stalled the LCD rollout. CMS had to step in and do something.
This cleans up the mess quickly and should bring some credibility to industry. Go look at most recent published ASP price file on CMS.gov. Some companies charging 4770 per sq cm. One product charging 3600+ and called 'Most'. It's a cesspool.
My only gripe is the low cap @
$125/cm. For reference, EpiFix is currently reimbursed @
$150. So margins will suffer if CMS doesn't raise cap following comments period.
But most of the fraud will be neutralized with this move. Now it becomes a volume game and fight for share amongst the remaining players who can still operate @ these price levels.
