CMS has indicated that it might switch from a fee for service model to a bundled payment system for wound care services which is predicted to push providers to use more cost-effective wound care therapies. Currently, skin substitute products are used for chronic wounds when debridement and negative pressure therapy don’t work. Physicians are reimbursed separately for grafting procedures and skin substitute products. However, CMS wants to change it so that they reimburse $874 total for both the grafting procedure and associated product; they are also looking to cap the whole reimbursement for healing chronic wounds such as a diabetic foot ulcer at $4,000 per episode.
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