Medicare Contractors Seek Unified Solution for HGNS Billing Disparities

Three Medicare Administrative Contractors (MACs) are collaborating to develop a unified resolution for a billing dispute concerning payment disparities for hypoglossal nerve stimulation (HGNS) procedures. This effort aims to address inconsistencies where some MACs may pay substantially higher rates than others for the same procedure. The initiative reflects ongoing challenges in Medicare billing compliance and reimbursement standards across different jurisdictions.