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Dr. John Steinberg addresses 2014 Alliance Workplan with members at Spring 2014 meeting

2016 Workplan

  • Work with Centers for Medicare and Medicaid Services and other organizations to ensure wound care is discussed and included in alternative payment models and payment reform
  • Educate Alliance members on new Medicare payment reform initiatives (Alternative Payment Models [APMs] and Merit-based Incentive Payment System [MIPS])
  • Develop new and refine existing wound care quality measures in conjunction with the U.S. Wound Registry as submitted through the Qualified Clinical Data Registry that can be used in all sites of care.
  • Educate CMS and its contractors A/B MACs and DME MACs on coding, coverage and payment of wound care technologies
  • Work with AMA CPT committee and staff and Alliance clinical associations who sit on the AMA CPT panel -  to change the CPT code descriptors from “skin substitutes” to the more clinically appropriate name of “cellular and/or tissue based products for wounds”
  • Monitor, review and comment on Medicare coverage, coding and payment issues that impact wound care procedures and technologies.  These include but are not limited to the following:
    • Physician fee schedule
    • Outpatient Prospective Payment System
    • A/B MAC and DMEMAC local coverage determination policies on wound care
  • Monitor government and other key organizations actions to ensure that wound care procedures, technologies and payment are adequately and accurately included in key government agencies shaping health care reform.  These include but are not limited to:
    • Center for Medicare and Medicaid Services (including Innovation Center)
    • Patient Centered Outcomes Research Institute (PCORI)
    • National Quality Forum (NQF)
    • Agency for Health Care Research and Quality (AHRQ)
    • Medicare Payment Advisory Commission (MedPAC)
    • Institute of Medicine (IOM)
  • Continue to work with the FDA on its 2006 “Guidance for Industry – Chronic Cutaneous Ulcer and Burn Wounds Developing Products for Wounds”
  • Monitor and proactively support legislative initiatives impacting wound care endorsed by the Alliance.

Alliance of Wound Care Stakeholders © 2013