Category: Billing & Coding

CMS Update: Skin Substitutes and Tissue Based Product Guidelines

This updated comprehensive free guide available below discusses upcoming changes in the use of skin substitute grafts and cellular and/or tissue-based products for the treatment of diabetic foot ulcers and venous leg ulcers. These changes will take effect on or after 10/1/2023, impacting several Medicare Administrative Contractors (MACs) including CGS, First Coast, and Novitas. Notable … Continued

How We Do It: Documentation & Compliance Support by WCA

Q: How does WCA support wound centers with Documentation and compliance? A: We offer support with documentation and meeting compliance through the following:  Documentation Guides: The documentation guides provide clinicians with information in a detailed format that makes the documentation requirements and regulations easier to understand. Hotlines Team: Hotline Team is comprised of a dedicated … Continued

Understanding CTPs and the Upcoming Changes: Part 1

Read Part 2 Throughout the recent talk of the changes Centers for Medicare & Medicaid Services (CMS) have proposed in regards to Cellular Tissue-Based Products (CTP’s), concerns have been raised in the current gaps of education and documentation needs with these products across the nation. In discussions about what CMS is proposing, industry leaders break … Continued

Palmetto Post Payment Probe for Hyperbarics

The Medicare Administrative Contractor Palmetto recently released the results of a post payment probe for hyperbarics (HCPCS Code: G0277). We’ve seen this before within our industry and it usually means another round of audits are coming. Here’s a summary of the findings and how you can avoid hyperbaric denials through strong documentation practices:

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