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Endovenous radio-frequency obliteration of the great saphenous vein, also known as the VNUS Closure® procedure, is a functional surrogate to vein stripping in appropriate patients. As an alternative to conventional surgery, the Closure procedure has the broadest and most complete insurance coverage available. Positive coverage policies have been established nationwide and includes such plans as Aetna, Cigna, BCBS Plans, Coventry, Humana and Health Net and United Healthcare. As with most venous therapy procedures medical necessity will need to be established in order for reimbursement to be obtained. Within each coverage policy the carrier will list the criteria that needs to be satisfied in order that a service or procedure be considered medically appropriate, effective and necessary. Physicians who treat their symptomatic patients with the Closure System are advised to review the medical policies in their area to familiarize themselves with the specific criteria. Physicians, along with billing personnel from the hospital or ambulatory surgicenter, should analyze the use of the Closure System, and review current policy guidelines to determine which codes are most appropriate for submitting claims for reimbursement. The Reimbursement Services Department at VNUS Medical Technologies is committed to assisting physicians and facilities through the reimbursement process by providing a region-specific Reimbursement Specialist to assist with coding and billing support, preauthorization services, and assistance with appeals. Each Reimbursement Specialist is educated in local reimbursement standards and can provide on-going expert consultation on reimbursement issues as well as work as a liaison with your regional insurance carriers.
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