Marcia Nusgart, RPh
If you treat Medicare patients, you appreciate how a morass of complex coverage and payment regulations can dictate the care you provide. Payer coverage and payment regulations specify which technologies and procedures wound care clinicians can offer their patients, which ones they will (or will not) be reimbursed for, and at what level. Concerningly, coverage policies may be often outdated and/or out of step with scientific guidelines and current clinical practice. Underlying many policies that restrict coverage is a lack of shared clarity across researchers, regulators and payers surrounding what type and how much clinical evidence payers need in order to cover wound care products and procedures … read more
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