Published in Managed Care Weekly Digest, December 6th, 2004
The decision that ON-Q was medically necessary and therefore payable was made by an administrative law judge based upon the law and clinical evidence submitted by I-Flow. The appeal featured highlights of ON-Q's recently cleared enhanced labeling as well as clinical data demonstrating the benefits of the ON-Q Soaker Catheter.
Historically, all of Medicare's contractors, or DMERCs, have adopted policies that resulted in denied payments for ON-Q PainBuster.
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