Reimbursement

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By Glenda Motta RN, MPH

Centers for Medicare and Medicaid Services (CMS) just released regulations for acute and long-term care hospitals that include a new set of quality measures that will determine payment starting in the fiscal year 2015. The initial set of 10 quality measures was put in place in 2004 as mandated by the Medicare Prescription Drug, Improvement and Modernization Act (MMA).

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By Glenda Motta RN, MPH

Coverage and payment for new wound care technology is never automatic, and demands skillful assessment of what various payers require to accept a new treatment modality. Reimbursement is complex and involves coding, coverage, and payment. Too many companies erroneously believe that “getting a code” guarantees payment. Nothing could be further from the truth!

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By Glenda Motta RN, MPH

The most commonly used wound dressings are classified as medical devices. Examples of these include (but are not limited to): absorptive dressings, alginates, collagens, composites, contact layers, foams, gauzes, hydrocolloids, hydrogels, impregnated dressings, transparent films, wound fillers, and silver dressings.

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