A new Medicare Part B wound care policy.
Skin and wound care specialists should design an assessment tool that includes all the documentation required to prove medical necessity for the initial and continued use of NPWT, when appropriate for patients who are managing their wounds at home. In addition, specialists should supply the physician with the order form that is provided by the NPWT pump supplier. Finally, personnel should be trained to appropriately assess and document the need for NPWT. Once a Medicare Part B-covered patient at home qualifies for a NPWT pump and supplies, the supplier will deliver the equipment and supplies and will bill Medicare Part B directly. Payment will be 80% of the DMERC Fee Schedule. The patient will be charged 20% of the Medicare allowable fee.
Schaum
K D
KD
Wound Care Strategies, Inc, Harrisburg, PA, USA. kdschaum@woundcaresstrategies.com
D000368:Aged; D003953:Diagnosis-Related Groups; D004608:Eligibility Determination; D017048:Health Care Costs; D006291:Health Policy; D006699:Home Care Services / Q000191:economics; D006801:Humans; D019458:Insurance Coverage; D016345:Medicare Part B / Q000191:economics*; D003668:Pressure Ulcer / Q000191:economics* / Q000628:therapy*; D014481:United States; D014945:Wound Healing