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Business Briefs

Business Briefs
Is This Product Separately Payable By Medicare Part B?
04/16/2015
Kathleen D. Schaum, MS
  Information regarding coding, coverage, and payment is provided as a service to our readers. Every effort has been made to ensure information accuracy. However, HMP Communications and the author do not represent, guarantee, or warranty that...
  Information regarding coding, coverage, and payment is provided as a service to our readers. Every effort has been made to ensure information accuracy. However, HMP Communications and the author do not represent, guarantee, or warranty that...
  Information regarding coding,...
04/16/2015
Today's Wound Clinic

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Business Briefs
Playing Musical Chairs With CTPs in 2015
02/13/2015
Kathleen D. Schaum, MS
Kathleen D. Schaum, MS answers readers’ questions about charge description masters and CTPs.  
Kathleen D. Schaum, MS answers readers’ questions about charge description masters and CTPs.  
Kathleen D. Schaum, MS answers...
02/13/2015
Today's Wound Clinic
Business Briefs
10 Preparation Steps for Charge Description Masters in 2015
12/15/2014
Kathleen D. Schaum, MS
Let’s review the major charge description master (CDM) changes that HOPD program directors should make and schedule for implementation when the clock strikes midnight Jan. 1.</  
Let’s review the major charge description master (CDM) changes that HOPD program directors should make and schedule for implementation when the clock strikes midnight Jan. 1.</  
Let’s review the major charge...
12/15/2014
Today's Wound Clinic
Business Briefs
HBOT Documentation Paramount, Especially With Prior Authorization Looming
10/12/2014
Kathleen D. Schaum, MS
The wound care industry’s general reluctance to not thoroughly implement two processes related to reimbursement as it pertains to hyperbaric oxygen therapy (HBOT) has resulted in unintended consequences.
The wound care industry’s general reluctance to not thoroughly implement two processes related to reimbursement as it pertains to hyperbaric oxygen therapy (HBOT) has resulted in unintended consequences.
The wound care industry’s...
10/12/2014
Today's Wound Clinic

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Business Briefs
2014 Revenue Cycle Components Will Affect Medicare Payment in 2016
09/20/2014
Kathleen D. Schaum, MS
Understand how CMS uses your claims data, how you can improve the accuracy of your claims, and how you can positively influence future OPPS payment rates.
Understand how CMS uses your claims data, how you can improve the accuracy of your claims, and how you can positively influence future OPPS payment rates.
Understand how CMS uses your...
09/20/2014
Today's Wound Clinic
Business Briefs
Why Were My HOPD Claims Denied?
08/14/2014
Kathleen D. Schaum, MS
As 2014 passes its midway point, the most frequently asked question this author has heard continues to be “Why were my hospital-based outpatient wound care department (HOPD) claims denied?” This article will offer readers some of the many...
As 2014 passes its midway point, the most frequently asked question this author has heard continues to be “Why were my hospital-based outpatient wound care department (HOPD) claims denied?” This article will offer readers some of the many...
As 2014 passes its midway point,...
08/14/2014
Today's Wound Clinic
Business Briefs
Reimbursement Tips for Bariatric Surgery & Various Forms of Debridement
06/12/2014
Donna J. Cartwright, MPA, RHIA, CCS, RAC, FAHIMA
Kathleen D. Schaum, MS
  This installment of “Business Briefs” will provide the reimbursement aspects of two clinical topics being covered in this issue of Today’s Wound Clinic: bariatric surgery and debridement.
  This installment of “Business Briefs” will provide the reimbursement aspects of two clinical topics being covered in this issue of Today’s Wound Clinic: bariatric surgery and debridement.
  This installment of “Business...
06/12/2014
Today's Wound Clinic

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Business Briefs
Medical Necessity Tops Conversation Topics at SAWC Spring
05/03/2014
Kathleen D. Schaum, MS
While registering at the Gaylord Palms Resort in Orlando, FL, for the Symposium on Advanced Wound Care (SAWC) Spring 2014, a physician tapped me on the shoulder and said, “The hospital-based outpatient wound care department (HOPD), for which...
While registering at the Gaylord Palms Resort in Orlando, FL, for the Symposium on Advanced Wound Care (SAWC) Spring 2014, a physician tapped me on the shoulder and said, “The hospital-based outpatient wound care department (HOPD), for which...
While registering at the Gaylord...
05/03/2014
Today's Wound Clinic
Business Briefs
CTPs: From Coding & Payment Changes (Then) To Coverage Changes (Now)
04/10/2014
Kathleen D. Schaum, MS
Information regarding coding, coverage, and payment is provided as a service to our readers. Every effort has been made to ensure the accuracy of the information. However, HMP Communications and the authors do not represent, guarantee, or...
Information regarding coding, coverage, and payment is provided as a service to our readers. Every effort has been made to ensure the accuracy of the information. However, HMP Communications and the authors do not represent, guarantee, or...
Information regarding coding,...
04/10/2014
Today's Wound Clinic
Business Briefs
Business Briefs: Confusion Reigns: 2014 Coding, Coverage, & Payment for CTPs
03/14/2014
Kathleen D. Schaum, MS
Kathleen D. Schaum, MS
Information regarding coding, coverage, and payment is provided as a service to our readers. Every effort has been made to ensure the accuracy of the information. However, HMP Communications and the authors do not represent, guarantee, or...
Information regarding coding, coverage, and payment is provided as a service to our readers. Every effort has been made to ensure the accuracy of the information. However, HMP Communications and the authors do not represent, guarantee, or...
Information regarding coding,...
03/14/2014
Today's Wound Clinic

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Today's Wound Clinic Newsletter

Letter From the Editor

Guest Editorial
Advocate for Your Wound Care Patients on the Proposed MAC Policy on CTPs
05/29/2024
Eric J. Lullove, DPM, CWSP
The MACs recently released proposed coverage policy updates for applying CTPs for DFUs and VLUs. This is your opportunity to effect change by submitting comments to the MACs before the policy becomes final. You have a responsibility to know...
The MACs recently released proposed coverage policy updates for applying CTPs for DFUs and VLUs. This is your opportunity to effect change by submitting comments to the MACs before the policy becomes final. You have a responsibility to know...
The MACs recently released...
05/29/2024
Today's Wound Clinic
From the Editor
The Future of Wound Care in the Quality Payment Program
03/13/2024
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Whether we will be able to survive as wound care practitioners will, at least in part, depend on having quality measures that are relevant to what we actually do.
Whether we will be able to survive as wound care practitioners will, at least in part, depend on having quality measures that are relevant to what we actually do.
Whether we will be able to...
03/13/2024
Today's Wound Clinic
From the Editor
The Non-Pressure Ulcer Episode-Based Cost Measure "Field Test" Began Feb. 1
02/05/2024
Caroline E. Fife, MD, FAAFP, CWS, FUHM
For years I have been explaining how the QPP could be the end of wound care practitioners. The entire QPP is designed around recognized medical specialties and since there is no recognized specialty for wound care, we are all in trouble.
For years I have been explaining how the QPP could be the end of wound care practitioners. The entire QPP is designed around recognized medical specialties and since there is no recognized specialty for wound care, we are all in trouble.
For years I have been explaining...
02/05/2024
Today's Wound Clinic
Guest Editorial
The G-Code Solution to Skin Substitute Reimbursement
01/25/2024
Shaun Carpenter MD, CWSP
I am calling on CMS to adopt new G codes to replace Q code reimbursement and CPT 15000 codes for skin substitute application procedures and to establish skin substitute product code classes.
I am calling on CMS to adopt new G codes to replace Q code reimbursement and CPT 15000 codes for skin substitute application procedures and to establish skin substitute product code classes.
I am calling on CMS to adopt new...
01/25/2024
Today's Wound Clinic
Guest Editorial
Wound Size Matters: Analysis of the New Restrictive Skin Substitute LCD Policy
09/01/2023
Shaun Carpenter MD, CWSP, WMS
With so much ambiguity remaining, an immediate compromise on the number of applications to allow 7 is warranted both from an ethical and medical perspective. The current restriction of 4 applications is clearly not based on an accurate...
With so much ambiguity remaining, an immediate compromise on the number of applications to allow 7 is warranted both from an ethical and medical perspective. The current restriction of 4 applications is clearly not based on an accurate...
With so much ambiguity...
09/01/2023
Today's Wound Clinic
Guest Editorial
Wrestling With Implicit Bias to Deliver Better Care for Our Patients
06/01/2023
Monique L. Abner, MD, CWSP
For some, bias remains a sensitive issue, and some people are reluctant to admit to the need for introspection. However, to mitigate the ill effects of bias, everyone must first acknowledge that it exists.
For some, bias remains a sensitive issue, and some people are reluctant to admit to the need for introspection. However, to mitigate the ill effects of bias, everyone must first acknowledge that it exists.
For some, bias remains a...
06/01/2023
Today's Wound Clinic
From the Editor
Confessions of a Doctor With Lipedema
03/14/2023
Caroline E. Fife, MD, FAAFP, CWS, FUHM
It is hard to understand how demoralizing it is. Lipedema affects your entire life, starting in the teenage years.
It is hard to understand how demoralizing it is. Lipedema affects your entire life, starting in the teenage years.
It is hard to understand how...
03/14/2023
Today's Wound Clinic
From the Editor
Why Won’t the DME Provide Dressings for My Patient?
02/23/2023
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Maybe Because Of My Documentation
Maybe Because Of My Documentation
Maybe Because Of My...
02/23/2023
Today's Wound Clinic
Guest Editorial
How Wound Care Providers Can Treat Patients Like People, Not Like Cases
02/01/2023
Morgan McCoy
Finding a skilled wound care professional comes down finding someone who is confident in their skill/craft—someone who treats the whole patient, not just the wound. Finding someone who would see me as a person and a whole being rather than...
Finding a skilled wound care professional comes down finding someone who is confident in their skill/craft—someone who treats the whole patient, not just the wound. Finding someone who would see me as a person and a whole being rather than...
Finding a skilled wound care...
02/01/2023
Today's Wound Clinic
Guest Editorial
Amputations in Pyoderma Gangrenosum Patients: Underreported or Very Rare?
01/11/2023
Shannon Kody, MD
Alex G. Ortega-Loayza, MD, MCR
Are providers missing the diagnosis of PG because they are anchoring on “positive” biopsy findings? Could we be missing cases in which PG patients underwent amputation, didn’t have a recurrence, and were never diagnosed? Or are we just not...
Are providers missing the diagnosis of PG because they are anchoring on “positive” biopsy findings? Could we be missing cases in which PG patients underwent amputation, didn’t have a recurrence, and were never diagnosed? Or are we just not...
Are providers missing the...
01/11/2023
Today's Wound Clinic

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Coping With COVID-19

Business Briefs
Telehealth Use Continues and Receives Further Medicare Payment 
01/25/2023
Kathleen D. Schaum, MS
The COVID-19 PHE has been extended for 90 more days. This author reviews the Medicare telehealth flexibility extensions that may be important to wound/ulcer management professionals.
The COVID-19 PHE has been extended for 90 more days. This author reviews the Medicare telehealth flexibility extensions that may be important to wound/ulcer management professionals.
The COVID-19 PHE has been...
01/25/2023
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency Waivers Q&A
09/07/2022
Kathleen D. Schaum, MS
This author answers more questions about what will happen to telehealth and other waivers when the COVID-19 PHE ends.
This author answers more questions about what will happen to telehealth and other waivers when the COVID-19 PHE ends.
This author answers more...
09/07/2022
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency Extension Also Applies to Telehealth
08/15/2022
Kathleen D. Schaum, MS
The COVID-19 Public Health Emergency (PHE) is extended through October 13, 2022. Many wound/ulcer management professionals have been using telehealth and should be happy to know that the Medicare waivers pertaining to telehealth have also...
The COVID-19 Public Health Emergency (PHE) is extended through October 13, 2022. Many wound/ulcer management professionals have been using telehealth and should be happy to know that the Medicare waivers pertaining to telehealth have also...
The COVID-19 Public Health...
08/15/2022
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency, Coding Changes, and Coverage Changes Continue
02/09/2022
Kathleen D. Schaum, MS
For this month, let us review the continuation of the COVID-19 public health emergency (PHE), and the continuation of the ever-changing codes and coverage.
For this month, let us review the continuation of the COVID-19 public health emergency (PHE), and the continuation of the ever-changing codes and coverage.
For this month, let us review...
02/09/2022
Today's Wound Clinic

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