A major Medicare billing issue is emerging across 24 states, and vascular specialists are warning it could delay—or deny—time-sensitive, limb-saving care for patients with Peripheral Artery Disease (PAD).

On this episode of The Heart of Innovation, we are joined by two leading voices on the front lines:

🔹 Dr. Elliot Adams, Vascular Surgeon, whose office-based lab (OBL) is directly impacted by the denials

🔹 Dr. Bob Tahara, Vascular Surgeon and Past President of the OEIS (Outpatient Endovascular and Interventional Society)

Physicians are reporting that new Medicare CPT codes for modern PAD revascularization procedures—codes that replaced deleted legacy codes—are being denied by Medicare contractors Noridian and Novitas, despite being billed correctly. These denials affect procedures that often mean the difference between saving a leg or losing it.

If not clarified and corrected quickly, this issue could: • Block reimbursement for limb-salvage procedures in office-based labs • Delay urgent care for PAD patients • Increase preventable amputations and suffering

At the same time, patients are already calling our Leg Saver Hotline nightly due to delays and denials through Medicare Advantage plans—often in severe pain, afraid they're running out of time. This Medicare CPT issue risks compounding that crisis.

🚨 We need clinicians and patients to hear this—and to speak up.

👉 If you are a physician, clinician, or billing professional seeing these denials

👉 If you are a patient who has received a Medicare denial or delay for PAD care

👉 If you've been told a limb-saving procedure won't be covered

Please tune in. Your experience matters.

You can also email Kym@padhelp.org for info on joining the LIVE in studio discussion!

📞 NEED HELP OR SUPPORT?

Leg Saver Hotline: 1-833-PAD-LEGS

If you've received a denial letter or are facing delays, call us. You are not alone. 

#peripheralarterydisease#padsupport#medicare#medicaredbilling#medicaredenials

A major Medicare billing issue is emerging across 24 states, and vascular specialists are warning it could delay—or deny—time-sensitive, limb-saving care for patients with Peripheral Artery Disease (PAD). On this episode of The Heart of Innovation, we are joined by two leading voices on the front lines: 🔹 Dr. Elliot Adams, Vascular Surgeon, whose office-based lab (OBL) is directly impacted by the denials 🔹 Dr. Bob Tahara, Vascular Surgeon and Past President of the OEIS (Outpatient Endovascular and Interventional Society) Physicians are reporting that new Medicare CPT codes for modern PAD revascularization procedures—codes that replaced deleted legacy codes—are being denied by Medicare contractors Noridian and Novitas, despite being billed correctly. These denials affect procedures that often mean the difference between saving a leg or losing it. If not clarified and corrected quickly, this issue could: • Block reimbursement for limb-salvage procedures in office-based labs • Delay urgent care for PAD patients • Increase preventable amputations and suffering At the same time, patients are already calling our Leg Saver Hotline nightly due to delays and denials through Medicare Advantage plans—often in severe pain, afraid they're running out of time. This Medicare CPT issue risks compounding that crisis. 🚨 We need clinicians and patients to hear this—and to speak up. 👉 If you are a physician, clinician, or billing professional seeing these denials 👉 If you are a patient who has received a Medicare denial or delay for PAD care 👉 If you've been told a limb-saving procedure won't be covered Please tune in. Your experience matters. You can also email Kym@padhelp.org for info on joining the LIVE in studio discussion! 📞 NEED HELP OR SUPPORT? Leg Saver Hotline: 1-833-PAD-LEGS If you've received a denial letter or are facing delays, call us. You are not alone. <a class="yt-core-attributed-string__link yt-core-attributed-string__link--call-to-action-color" tabindex="0" href="https://www.youtube.com/hashtag/peripheralarterydisease" target="">#peripheralarterydisease</a> <a class="yt-core-attributed-string__link yt-core-attributed-string__link--call-to-action-color" tabindex="0" href="https://www.youtube.com/hashtag/padsupport" target="">#padsupport</a> <a class="yt-core-attributed-string__link yt-core-attributed-string__link--call-to-action-color" tabindex="0" href="https://www.youtube.com/hashtag/medicare" target="">#medicare</a> <a class="yt-core-attributed-string__link yt-core-attributed-string__link--call-to-action-color" tabindex="0" href="https://www.youtube.com/hashtag/medicaredbilling" target="">#medicaredbilling</a> <a class="yt-core-attributed-string__link yt-core-attributed-string__link--call-to-action-color" tabindex="0" href="https://www.youtube.com/hashtag/medicaredenials" target="">#medicaredenials</a>

All of us have the power to create change. The advances in technology are now such that if you have an idea, it’s easier than ever to execute on it. “Kym McNicholas On Innovation” shares the journeys of successful entrepreneurs, innovators, and investors from around the world who will inspire you to create your own financial independence. The show also features some of the most advanced technologies you’ve never heard of that could be have an impact on your life, your business, and your career. 

Regular featured segments include “The Edge” which highlights businesses that are game-changing in the enterprise. Plus, each week in “HealthTech”, you’ll hear about a company that’s creating better, safer, faster, and cheaper technologies that will improve patient care and lower costs. And in our “Female Seeking Startup” series hear the success stories of some of the most powerful women who are creating game-changing technologies.

Produced and Published by The Innovators Network (http://TheInnovators.Network)

The Heart of Innovation with Kym McNicholas

The Heart of Innovation is 60 minutes with life and limb saving potential. Emmy Award-winning Journalist and Patient Navigator Kym McNicholas and Interventional Cardiologist Dr. John Phillips discuss new exciting ideas and innovation in healthcare. They tackle some of the greatest barriers to timely, effective patient care and discuss solutions with physicians, clinicians, policy makers, and most importantly, patients.

The Heart of Innovation is 60 minutes with life and limb saving potential. Emmy Award-winning Journalist and Patient Navigator Kym McNicholas and Interventional Cardiologist Dr. John Phillips discuss new exciting ideas and innovation in healthcare. They tackle some of the greatest barriers to timely, effective patient care and discuss solutions with physicians, clinicians, policy makers, and most importantly, patients.