tci Medicare Compliance & Reimbursement - 2006 Issue 33
REIMBURSEMENT: Is A Patient's Wound 'Not Healing?' The Right Answer Just Got Trickier
Tap new surgical wound guidance to boost revenues.An audit of how your field staff is assessing wounds could enhance your Medicare reimbursement by as much as $900 per episode.Effective July 27, the Centers for Medicare & Medicaid Services (CMS) has adopted a new view on what constitutes a healing--or non-healing--surgical wound. The basis for the shift is "OASIS Skin and Wound Status M0 Items," a guidance document issued in July by the Wound Ostomy & Continence Nurses Society (WOCN)."[We encourage] clinicians to follow the guidance suggested in the WOCN Guidance Document ... in the assessment of...
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