CMS

Industry News's picture

by The Alliance of Wound Care Stakeholders

In their quarterly Alliance Advocacy Update, the Alliance of Wound Care Stakeholders' (Alliance) provides an update on their ongoing advocacy initiatives on behalf of their clinical association members to ensure access, coverage and payment to wound care procedures and technologies for patients and providers.

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Industry News's picture

by The Alliance of Wound Care Stakeholders

The Alliance of Wound Care Stakeholders' (Alliance) quarterly update provides an overview of ongoing advocacy initiatives to ensure access, coverage and payment to wound care procedures and technologies for patients. This update includes current action items, updates on key areas of focus from the past quarter, and future issues for the second quarter of 2016 that the Alliance is tracking that are of importance to the wound care community, including clinicians who may be impacted by policy changes.

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Mary Ellen Posthauer's picture
health care quality measures

by Mary Ellen Posthauer RDN, CD, LD, FAND

The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT) amends Title XVIII of the Social Security Act by adding a new section – Standardized Post-Acute Care (PAC) Assessment Data for Quality, Payment, and Discharge Planning. The goal of the IMPACT Act is to reform PAC payments and reimbursement while ensuring continued beneficiary access to the most appropriate setting of care. The act requires the submission of standardized and interoperable PAC assessment and quality measurement data by Long-Term Care Hospitals (LTCH), Skilled Nursing Facilities (SNF), Home Health Agencies (HHA) and Inpatient Rehabilitation Facilities (IRF).

Thomas Serena's picture
Preparing for CMS PQRS measures deadline

by Thomas E. Serena MD, FACS, FACHM, FAPWCA

An ancient Irish tradition dating back to St. Patrick permitted women to propose marriage to men on the additional day added during a leap year. The gender equality of modern society has turned this tradition into mere folklore, but it is hardly cause for concern here in Boston as we have no shortage of Irish traditions

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WoundSource Editors's picture
icd-10 implementation

by the WoundSource Editors

With approximately 68,000 codes (nearly five times the number of codes as ICD-9), the ICD-10 system can seem daunting. In addition to an expansion in the number of codes, with flexibility for new code development, ICD-10 codes themselves are also longer in length using 3 to 7 digits versus 3 to 5 digits.

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Thomas Serena's picture
authorization denied

by Thomas E. Serena MD, FACS, FACHM, FAPWCA

During the 2010 presidential campaign, Sarah Palin, the former governor of Alaska, quipped during a debate that then presidential candidate Obama's health care reform contained within it "death panels": bureaucrats with limited or no medical training making life and death decisions. She suffered interminable criticism for the comment and political fact checkers dubbed it the "lie of the year."

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by The Alliance of Wound Care Stakeholders

The Alliance of Wound Care Stakeholders submitted formal comments in response to the Novitas draft local coverage determination (LCD) for Hyperbaric Oxygen Therapy (HBOT).

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Michel Hermans's picture
honey bees

by Michel H.E. Hermans, MD

In the June 2015 issue of the Journal of Ostomy Wound Management, Bell et al. published an article in which they reacted to the recent decision by CMS (January 22, 2015) to change its HCPCS code for a Manuka honey dressing for Medicare Part B patients to a non-covered code. Apparently, this ruling was based on the fact that the dressing is impregnated with more than 50% (by weight) honey. The authors, rightly so, stated that this would be a major loss for a significant number of patients who, under the previous ruling, would have been able to use the dressing as a reimbursed material. Indeed, this specific dressing is one of the materials with a good record with regard to clinical proof.

Lindsay Andronaco's picture

by Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS

Patient safety is always of the utmost importance. Health care providers aim to improve the health of others. Having been in many settings during my career, I have been privileged to see the transition of how nursing has changed due to technological advances. Long gone are the days sitting in rural Vermont trying to decipher handwritten orders, counting drips on a dial control IV set and doing pediatric drug calculations while a parent hovers over you. Luckily, we have made strides to eliminate such frustrations, ways of frequent error, and time consuming tasks. Nursing has been forced to evolve as technology evolves.