CMS to Begin Covering Disposable Negative Pressure Wound Therapy

Good news for Medicare providers that offer wound care therapy.

The Centers for Medicare & Medicaid Services (CMS) is introducing four new home health G-codes to replace two old ones—and this worries officials at the National Association for Home Care & Hospice (NAHC), who fear providers may not have adequate time to prepare for the changes.

CMS recently issued Change Request 9736, which applies new payment policies to home health agencies starting on Jan. 1, 2017. Specifically, the Change Request (CR) details payment policies for disposable Negative Pressure Wound Therapy (dNPWT) devices and outlier payments utilizing the new methodology, which involves changes in reporting non-covered charges. Additionally, the CR includes the updates for the PRICER logic for 2017 home health prospective payment system (HHPPS), NAHC said on its website.

The CR also requires agencies to start reporting four new G-codes associated with home visits from licensed practical nurses (LPNs) and registered nurses (RNs).

CMS to Begin Covering Disposable Negative Pressure Wound Therapy | National Association for Home Care & Hospice