Myomo, a wearable medical robotics company, received payments for two claims submitted for its MyoPro arm orthosis provided to Medicare fee-for-service beneficiaries. Because MyoPro is currently in the durable medical equipment (DME) rental benefit category, the payments were paid under the capped rental program, which reimburses for devices over 13 months.
In June, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would codify the definition of orthoses such as the MyoPro. If the proposed rule is finalized as proposed, the devices provided to Medicare Part B beneficiaries will be paid on a lump sum basis, as other orthoses are currently reimbursed.
“This is a positive step forward as we have been working collaboratively with the CMS staff and [Durable Medical Equipment Medicare Administrative Contractors] medical directors to enable Medicare Part B beneficiaries to have access to the MyoPro if it is medically necessary for them,” said Paul R. Gudonis, chairman and CEO of Myomo.
The company has additional MyoPro claims currently under review.
