Blog Posts About Wound Care Economics

It is intended to “better recognize the resource costs associated with evaluation and management visits for primary care and longitudinal care.”

If there are super-secret requirements that Noridian has now decided to impose, then they should be enshrined in a public document somewhere.

The data submission period for Medicare’s Merit-Based Incentive Payment System (MIPS) 2023 performance year is underway.

I know the holidays are busy – but most of us would like to have a job to go back to in January…

What we need is for people to submit a comment, and to spread the word that hyperbaric oxygen therapy is in a crisis.

Your EHR will need to be modified to meet the DME documentation requirement burden (and if you think the list below is ridiculous – it is, but it’s still required).

On your drive home, check out this podcast with Helen Gelly MD, FUHM, FACCWS, UHM/ABPM, “How to Get Your Wound Clinic Through an Audit.”

We need individuals at all training levels to comment on the proposed changes that CMS is proposing in the Medicare Physician Fee Schedule (MPFS) for the technical payment of HBOT.

The LTA will improve insurance coverage for the medically necessary, doctor-prescribed compression supplies that are the cornerstone of lymphedema treatment.

Undersea and Hyperbaric Medicine IS a recognized medical subspecialty so that might help patients obtain necessary HBOT treatments.

The rule goes into effect Jan 1, 2024.  Whether this will make MA less of a Medicare DIS-advantage is yet to be seen.

There are no federal regulatory prohibitions on the use of verbal orders, although CMS frowns upon verbal orders in the context of medications.

A self-audit is a miserable “gift” to give yourself, but a real audit is a gift that just keeps on giving when you are not prepared.

In case you think you are safe because you live in another MAC jurisdiction, it’s the same as the First Coast policy and it won’t surprise me to see all the MACs adopt the same (flawed) policies.

This is Part 4 of the list of what you need to document (per the proposed rule) if you want to use a skin substitute (CTP) for a DFU or VLU.

Novitas is going to limit clinicians to 2 applications of a “specific skin substitute” over the 12-week period defined by the date of the first application.

I am not even halfway through the details of the proposed policy, so stay tuned for more.

If you want to present comments on any of the proposed policies in the Novitas LCD, sign up to attend the Open Meeting.

These proposed “rules” are hundreds of pages and filled with jargon. However, the details will control how physicians get paid in 2022.