Cardio Diagnostics Holdings, Inc. Receives Preliminary Medicare Pricing from Centers for Medicare and Medicaid Services (CMS) for AI-Powered Cardiovascular Tests
October 01 2024 - 8:31AM
Business Wire
Preliminary CMS pricing determination marks a key milestone in
gaining broad access to Medicare reimbursement.
Cardio Diagnostics Holdings, Inc. (NASDAQ: CDIO), an AI-driven
precision cardiovascular medicine company today announced that the
Company’s PrecisionCHD and Epi+Gen CHD tests have received
preliminary pricing determinations from the Centers for Medicare
& Medicaid Services (CMS). This determination represents a
crucial step toward securing Medicare reimbursement, enabling
access to the Company’s affordable, innovative, and highly scalable
blood tests aimed at improving the risk assessment, diagnosis,
management and monitoring of coronary heart disease (CHD) for
Medicare patients.
CMS recently issued a preliminarily determination to price both
PrecisionCHD and Epi+Gen CHD on a ‘gapfill’ basis. This decision,
following the Clinical Laboratory Fee Schedule (CLFS) Annual Public
Meeting held on June 25, 2024, recognizes the unique value of these
tests. If finalized, this decision will be effective for claims
with dates of service on or after January 1, 2025, and will allow
Medicare contractors to determine pricing for PrecisionCHD and
Epi+Gen CHD based on actual cost data from Cardio Diagnostics. The
Medicare contractors will report to CMS preliminary gapfill pricing
for calendar year 2025 by April 1, 2025.
“We are proud to reach this important milestone with CMS,
bringing us closer to making our cutting-edge cardiovascular tests
accessible to Medicare patients,” said Meesha Dogan, Ph.D., CEO and
Co-Founder of Cardio Diagnostics. “This determination underscores
the value of innovation in healthcare, and we’re excited to support
clinicians with advanced tools that can enhance the diagnosis and
management of coronary heart disease, ultimately improving outcomes
for one of the most at-risk populations.”
Cardiovascular disease is the leading cause of death in the
United States, including among Americans over 65 years old. In
2022, the number of deaths due to heart disease was 702,880, with a
mortality rate of 211 deaths per 100,000 population. Coronary heart
disease, the most common type of heart disease, claimed 371,506
lives. PrecisionCHD is an AI-powered blood test that aids in the
diagnosis of coronary heart disease (CHD) by evaluating genetic and
epigenetic markers. Epi+Gen CHD assesses the three-year risk for a
CHD event, including heart attacks, using a similar AI-driven
integrated genetic-epigenetic approach. Both tests received
dedicated CPT Proprietary Laboratory Analysis (PLA) codes from the
American Medical Association, 0439U for Epi+Gen CHD and 0440U for
PrecisionCHD, that were effective on April 1, 2024.
About Cardio Diagnostics
Cardio Diagnostics is an artificial intelligence-powered
precision cardiovascular medicine company that makes cardiovascular
disease prevention, detection, and management more accessible,
personalized, and precise. The Company was formed to further
develop and commercialize clinical tests by leveraging a
proprietary Artificial Intelligence (AI)-driven Integrated
Genetic-Epigenetic Engine ("Core Technology") for cardiovascular
disease to become one of the leading medical technology companies
for improving prevention, detection, and treatment of
cardiovascular disease. For more information, please visit
http://www.cdio.ai/.
Forward-Looking Statements
Certain statements and information included in this press
release constitute “forward-looking statements” within the meaning
of the Private Securities Litigation Act of 1995. When used in this
press release, the words or phrases “will”, “will likely result,”
“expected to,” “will continue,” “anticipated,” “estimate,”
“projected,” “intend,” “goal,” or similar expressions are intended
to identify “forward-looking statements” within the meaning of the
Private Securities Litigation Reform Act of 1995. Such statements
are subject to certain risks, known and unknown, and uncertainties,
many of which are beyond the control of the Company. Such
uncertainties and risks include but are not limited to, our ability
to successfully execute our growth strategy, changes in laws or
regulations, economic conditions, dependence on management,
dilution to stockholders, lack of capital, the effects of rapid
growth upon the Company and the ability of management to
effectively respond to the growth and demand for products and
services of the Company, newly developing technologies, the
Company's ability to compete, regulatory matters, protection of
technology, the effects of competition and the ability of the
Company to obtain future financing. An extensive list of factors
that can affect future results are discussed in the Current Report
on Form 10-K for the period ended December 31, 2023, and Form 10-Q
for the periods ended March 31, 2024 and June 30, 2024, under the
heading “Risk Factors” in Part I, Item IA thereof, and other
documents filed from time to time with the Securities and Exchange
Commission. Such factors could materially adversely affect the
Company’s financial performance and could cause the Company’s
actual results for future periods to differ materially from any
opinions or statements expressed within this press release.
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Investors: Investor Relations 855-226-9991
investors@cardiodiagnosticsinc.com
Media & Public Relations: Kristen Hoff 855-226-9991
pr@cardiodiagnosticsinc.com
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