CMS proposes preliminary Medicare payment rates for PoNS: mouthpiece $3,075.53, controller $1,206.53

Solana Co

CMS preliminary DMEPOS fee schedule sets PoNS Mouthpiece (A4594) capped payment at $3,075.53 based on cash pay price of $4,500.
PoNS Controller (A4593) capped at $1,206.53 by mapping to existing code E0745 (neuromuscular stimulator).
HCPCS public meeting scheduled May 29, 2024; Helius plans to advocate for higher rates using gap-filling methodology.
If finalized, payment rates effective October 1, 2024; CEO calls it a significant win for reaching positive cash flow.
No assurance rates will be finalized in current amounts; company will present arguments.

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