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CTP Reimbursement

For this month's WoundSource Practice Accelerator series, we are providing education on a variety of topics related to reimbursement for cellular and/or tissue-based products (CTPs). Scroll below to read this month's white paper and articles, to print out our quick fact sheet, and to sign up for this month's webinar.

Upcoming Webinar

The ABCs of CTP Compliance: What Providers Should Know

Wednesday, December 20

Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC, CPMA

Objectives:

  • Reviews the basics of CTP coding and compliance
  • Reviews the proposed changes to CTP coding and compliance clinicians should be aware of
  • Reviews product coding, application coding, and documentation guidance
  • Live Q&A and Discussion

White Paper

Compliant CTP Documentation

<p>CTP reimbursement begins with good documentation that takes into account payor requirements. Since there are hundreds of third-party payors in the United States, this alignment can often be a challenge for clinicians and physicians who may want to apply CTPs to their wound healing practice. This white paper provides some guidance on documentation practices that support reimbursement of CTPs. Discussion includes documentation of why a CTP is "reasonable and necessary," medical necessity, under...

Fact Sheet

Quick Facts - CTP Reimbursement

Reimbursement is an essential component of any health care practice. With the number of products available, reimbursement for wound care practices in the United States may appear challenging. This fact sheet provides terms and tips on the reimbursement of cellular and/or tissue products (CTP), including Place of Service (POS) codes, utilization parameters, Medicare Administrative Contractors (MAC), and many others....

Featured Articles

Places of Service and CTP Reimbursement: What You Need to Know

The Places of Service, or POS, is a designation that payers, CMS (Centers for Medicare & Medicaid Services), and MACs (Medicare Administrative Contractor) use to designate where specifically providers are taking care of patients. In this Interview, Dr. Jonathon Johnson, MD, MBA, CWSP discusses POS c...

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What Code Do I Use? Q- Versus A-Codes and More

In this interview, Dr. Matthew Regulski, DPM, ABMSP, FFPM RCPS(Glasgow) discusses A- and Q-codes, how these codes differ, and more. ...

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Basics of Coding for CTP Reimbursement

In this interview, Dr. Jonathon Johnson, MD, MBA, CWSP covers the basics of coding for CTP reimbursement, such as JC and JW modifiers and how they are used. ...

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CTP Reimbursement: What’s New

Earlier this year, the Centers for Medicare & Medicaid Services (CMS) issued a new local coverage determination (LCD) impacting wound care providers, originally planned for implementation on October 1, 2023....

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Sponsored by

Smith+Nephew, Inc.

For over 150 years, Smith+Nephew has taken a pioneering approach to product design and services, helping to reduce the human and economic costs of wounds.

Important Terms to Know

Important Terms to Know: CTP Reimbursement

Cellular and/or tissue-based products: Engineered wound dressing products created to promote biological repair or regeneration of wound tissue by providing signaling, structural, or cellular elements with or without systems that contain living tissue or cells These products actively promote healing by stimulating the patient’s own cells to regenerate healthy tissue. There are multiple options for these products. Clinical setting of use/provider type: Acute care hospital, long-term care or rehabilitation hospital, skilled nursing facility, home health agency, physician’s office, outpatient clinic, hospice, assisted living residence, nursing home, or patient’s home. Each of these settings may carry its own unique Place of Service code that providers should include on their service claim submissions.