CMS Clarifies NWPT, Outlier Payments, and Updates Medicare Benefit Policy Manual for Home Health


Last week, CMS issued Change Request 9898, transmittal #233.  All Medicare-certified agencies should review this document.  It clarifies the payment policy changes for Negative Pressure Wound Therapy (NWPT) using a disposable device, and also clarifies the methodology to calculate outlier payments for home health.  The implementation date is March 27, 2017.

In addition, the CR updates the Medicare Benefit Policy Manual regarding NWPT, outlier payments and consolidated billing.  It also includes including new guidance on homebound status,  physician certification and supporting documentation.

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