Myomo Announces First Lump Sum Reimbursements for MyoPros Delivered to Medicare Part B Beneficiaries Under New CMS Fees
May 06 2024 - 8:30AM
Business Wire
Claims Remitted for Payment by All Four Billing
Regions
Orthotics and Prosthetics Providers Beginning
to Receive Reimbursement at Published Rates
Myomo, Inc. (NYSE American: MYO) (“Myomo” or the
“Company”), a wearable medical robotics company that offers
increased functionality for those suffering from neurological
disorders and upper-limb paralysis, today announced that the
Centers for Medicare & Medicaid Services (“CMS”), through their
regional contractors known as the DME MACs, have remitted and paid
lump sum reimbursements to the Company and are beginning to
reimburse orthotics and prosthetics (“O&P”) providers for
MyoPros delivered to Medicare Part B beneficiaries.
The amounts paid were based on the fees published by CMS for the
Company's Healthcare Common Procedures Coding System (“HCPCS”)
codes L8701 and L8702, which became effective on April 1, 2024. All
four regional DME MAC's have remitted lump sum reimbursements, and
payments have been received for a number of patients of the Company
and O&P providers based on the published fee schedule.
“We’re pleased to see that lump sum payments have been approved
from all four billing regions so that Medicare beneficiaries also
have equitable access to this life-changing technology,” stated
Paul R. Gudonis, Myomo’s Chairman and CEO. “We are also gratified
by the interest we are seeing from clinical providers in the
orthotics and prosthetics industry since one of our MyoPro Centers
of Excellence providers had its first claim paid by Medicare. With
the MyoPro now being reimbursed by CMS, our channel partners and
other health professionals should now have greater clarity of
reimbursement as long as their patients are medically appropriate
to receive the device with proper physician documentation.”
About Myomo
Myomo, Inc. is a wearable medical robotics company that offers
improved arm and hand function for those suffering from
neurological disorders and upper-limb paralysis. Myomo develops and
markets the MyoPro product line. MyoPro is a powered upper-limb
orthosis designed to support the arm and restore function to the
weakened or paralyzed arms of certain patients suffering from CVA
stroke, brachial plexus injury, traumatic brain or spinal cord
injury, ALS or other neuromuscular disease or injury. It is
currently the only marketed device in the U.S. that, sensing a
patient’s own EMG signals through non-invasive sensors on the arm,
can restore an individual’s ability to perform activities of daily
living, including feeding themselves, carrying objects and doing
household tasks. Many are able to return to work, live
independently and reduce their cost of care. Myomo is headquartered
in Boston, Massachusetts, with sales and clinical professionals
across the U.S. and representatives internationally. For more
information, please visit https://myomo.com.
Forward-Looking Statements
This press release contains forward-looking statements regarding
the Company’s future business expectations, including expectations
for reimbursement for the MyoPro by CMS, which are subject to the
safe harbor provisions of the Private Securities Litigation Reform
Act of 1995. These forward-looking statements are only predictions
and may differ materially from actual results due to a variety of
factors.
These factors include, among other things:
- our ability to obtain sufficient reimbursement from third-party
payers for our products;
- our ability to navigate factors both within and outside our
control to grow revenues sufficiently to achieve operating cash
flow breakeven on a quarterly basis;
- our revenue concentration with a particular insurance payer as
a result of focusing our efforts on patients with insurers who have
previously reimbursed for the MyoPro;
- our ability to continue normal operations and patient
interactions without supply chain disruption in order to deliver
and fit our custom-fabricated devices;
- our marketing and commercialization efforts;
- our dependence upon external sources for the financing of our
operations, to the extent that we do not achieve or maintain cash
flow breakeven;
- our ability to obtain and maintain our strategic collaborations
and to realize the intended results of such collaborations;
- our ability to effectively execute our business plan and scale
up our operations;
- our expectations as to our product development programs,
including improving our existing products and developing new
products;
- our ability to maintain and grow our reputation and to achieve
and maintain the market acceptance of our products;
- our expectations as to our clinical research program and
clinical results;
- our ability to maintain adequate protection of our intellectual
property and to avoid violation of the intellectual property rights
of others;
- our ability to gain and maintain regulatory approvals;
- our ability to compete and succeed in a highly competitive and
evolving industry; and
- general market, economic, environmental and social factors that
may affect the evaluation, fitting, delivery and sale of our
products to patients.
More information about these and other factors that potentially
could affect our financial results is included in Myomo’s filings
with the Securities and Exchange Commission, including those
contained in the risk factors section of the Company’s Annual
Report on Form 10-K, Quarterly Reports on Form 10-Q and other
filings with the Commission. The Company cautions readers not to
place undue reliance on any such forward-looking statements, which
speak only as of the date made. Although the forward-looking
statements in this release of financial information are based on
our beliefs, assumptions and expectations, taking into account all
information currently available to us, we cannot guarantee future
transactions, results, performance, achievements or outcomes. No
assurance can be made to any investor by anyone that the
expectations reflected in our forward-looking statements will be
attained, or that deviations from them will not be material or
adverse. The Company disclaims any obligation subsequently to
revise any forward-looking statements to reflect events or
circumstances after the date of such statements or to reflect the
occurrence of anticipated or unanticipated events.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20240506276037/en/
For Myomo: https://ir.myomo.com
Investor Relations: Kim Sutton Golodetz LHA Investor Relations
kgolodetz@lhai.com 212-838-3777
Myomo (AMEX:MYO)
Historical Stock Chart
From Oct 2024 to Nov 2024
Myomo (AMEX:MYO)
Historical Stock Chart
From Nov 2023 to Nov 2024