A Collaborative Call for Changes in Reimbursement Policies for pressure injury coauthored by leadership from NPIAP, AAWC and WOCN has been published in the Journal of Patient Safety.
This paper examines reimbursements to improve pressure injury prevention for
CMSGov.
Read the full paper here
WoundRounds on Demand Webinar
Part B billing for wound care supplies is tricky. The facility’s billing department needs accurate wound documentation plus knowledge of eligible wounds and products. Part B Billing consultant Amanda Smithey presents practical advice and tips to optimize wound care billing.
Includes: Overview of Medicare Guidelines for Reimbursement of Eligible Wounds and Documentation Tips Appropriate Product Selection Based on Medicare Reimbursement Guidelines Evaluating Your Current Part B Reimbursement Program for Wound Care Supplies
Consolidate the coding process with the Coding Companion, your one-stop resource developed exclusively for those who code for podiatric medicine. This comprehensive and easy-to-use guide includes 2018 CPT®, HCPCS, and ICD-10-CM code sets specific to your specialty. Each specialty-specific procedure code includes its official description and lay description, coding tips, terminology, cross-coding to common ICD-10-CM, and relative value units. Getting to the code information you need has never been so easy.
Key Features and Benefits
New Code icons. Quickly identify new, revised and add-on procedure codes related to podiatry.
New CPT® Assistant references. Identifies that an article or discussion of the CPT code has been in the American Medical Association s CPT Assistant newsletter. Use the citation to locate the correct volume.
Optum360 Edge HCPCS procedure codes. Only Optum360 offers HCPCS procedure codes specific to your specialty with the same information as we provide for CPT codes.
Quickly find information. All the information you need is provided, including illustrations, lay descriptions, coding tips, terms, cross-coding, Medicare RVUs and Pub. 100 references.
Organized by CPT® and HCPCS procedure code. Essential procedures for podiatry are listed by CPT® or HCPCS procedure code, along with crosswalks to common ICD-10-CM diagnosis codes.
Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with total RVUs for non-facility and facility for procedures are included.
Avoid claim denials and/or audits. Medicare payer information provides the references to Pub. 100 guidelines, follow-up days, and assistant-at-surgery.
CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with associated CCI edits in a special section and quarterly updates available online.
CPT® is a registered trademark of the American Medical Association
As the end-of-year countdown begins, we’re looking at changes that will impact the wound care industry in 2018. For the next several weeks, we’ll be running a series of insightful blog posts from our team of experts. Our first is from Rylan Smith, CFO.
Fall brings vibrant colors, homemade chili, championship baseball – and new CMS regulations for reimbursement! In reviewing upcoming changes for 2018, here are five takeaways that wound centers need to be aware of:
Supervision of hospital therapy services for critical access hospitals and small rural hospitals will reinstate the non-enforcement of supervision requirements. In the 2018 OPPS proposed rule, CMS revisits the moratorium on enforcement of the direct supervision rule for critical access hospitals and small rural hospitals with less than 100 beds. This is a positive development for these hospitals, because physician time is at a premium. The implication for hyperbarics is that it provides for some flexibility with direct supervision. We at Wound Care Advantage always recommend having a physician immediately available when a patient is in the chamber. This rule will extend the moratorium through 2019 … read more
In an atmosphere of changing reimbursement, it’s important to understand indications and utilization guidelines for healthcare services. Otherwise, facilities won’t receive appropriate reimbursement for provided services. This article focuses on Medicare reimbursement for hyperbaric oxygen therapy (HBOT).
Indications and documentation requirements
The Centers for Medicare & Medicaid Services (CMS) National Coverage Determination for HBOT lists covered conditions for HBOT, as do the individual Medicare Administrative Contractor’s (MAC) Local Coverage Determination policies and/or articles. (See Conditions for which CMS approves use of HBOT.) Providers should thoroughly review the indications and utilization guidelines to ensure coverage criteria are met for each clinical condition … read more
