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Patient Self Testing for Atrial Fibrillation Patients - Medicare Expands Coverage

Marie B. Walker
April, 2008

CMS has announced that they are:

expanding Medicare coverage of home prothrombin (INR) monitoring to include chronic atrial fibrillation and venous thromboembolism under the following conditions:

  • The beneficiary requires chronic oral anticoagulation with warfarin for a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism; and

  • the beneficiary has been anticoagulated for at least three months prior to use of the home INR device; and

  • the beneficiary has undergone a face-to-face educational program on anticoagulation management and demonstrated the correct use of the device prior to its use in the home; and

  • the beneficiary continues to correctly use the device in the context of the management of the anticoagulation therapy following initiation of home monitoring; and

  • home-testing with the device occurs no more frequently than once a week

For more information, visit:
http://www.cms.hhs.gov/mcd/viewdecisionmemo.asp?from2=viewdecisionmemo.asp&id=209&

To view an online web cast about self testing presented by Jack Ansell, MD on this topic, click here.

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