Reimbursement challenges and how to meet them... based on the transcript of the session entitled 'Reimbursement for support surfaces and surgical dressings,' which was presented on Sunday, April 21, 1996... Symposium on Advanced Wound Care & Medical Research Forum on Wound Repair in Atlanta, GA.
How we deliver healthcare in the U.S., and how that care is paid for, is evolving. Reimbursement and payment issues now directly impact patient care and clinical decisions. Comprehensive documentation is essential to receiving reimbursement. Therapeutic positioning used by therapists is considered a...
| Publicado en: | Ostomy Wound Management Vol. 42; no. 9; pp. 50 - 58 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
HMP Global
1996 Oct
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107312101&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107312101 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08895899 4F3 jtl: Ostomy Wound Management issn: 08895899 maglogo: N pubinfo: dt: 1996 Oct vid: 42 iid: 9 pid: 20465 pub: HMP Global place: Malvern, Pennsylvania artinfo: ui: 107312101 1997007585 NLM9016148 107312101 ppf: 50 ppct: 8 formats: tig: atl: Reimbursement challenges and how to meet them... based on the transcript of the session entitled 'Reimbursement for support surfaces and surgical dressings,' which was presented on Sunday, April 21, 1996... Symposium on Advanced Wound Care & Medical Research Forum on Wound Repair in Atlanta, GA. aug: au: Motta G Hagler DD McCooey AKC affil: GM Associates, Mitchellville, MD sug: subj: Insurance, Health, Reimbursement Medicare Documentation Wound Care Economics Physical Therapy Bandages and Dressings Pressure Ulcer Classification Beds and Mattresses Health Policy United States United States ab: How we deliver healthcare in the U.S., and how that care is paid for, is evolving. Reimbursement and payment issues now directly impact patient care and clinical decisions. Comprehensive documentation is essential to receiving reimbursement. Therapeutic positioning used by therapists is considered a skilled service. The key to Medicare reimbursement for therapeutic positioning and other services is documentation which clearly outlines the required skills of the professional, the medical necessity and reasonableness of the service, and the significant functional and safety goals that have been met, along with the progress over time. Medicare coverage and payment policies for surgical dressings and support surfaces have been revised in the last few years. The current surgical dressings policy has a number of points that must be understood: X1 modifiers, border versus non-border dressings, wound fillers and covers, solutions (saline), wound fillers (amorphous), dressing kits, staging, sterile versus non-sterile gauze, and normal utilization parameters. Many restrictions in both surgical dressings and support surfaces policies are efforts to curb fraud and abuse. The future of reimbursement depends of the involvement of healthcare professionals by developing research-based protocols, comprehensive documentation, education of both peers and patients, and political empowerment. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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