Submitted Comments

Items Related to Prospective Payment System (PPS)

August 23, 2021

CMS’ Advisory Panel on Hospital Outpatient Payment Unanimously Approves Alliance of Wound Care Stakeholders’ Recommendations that Would Correct Inadequacies in CTP Payments, Remove Barriers to Access

August 26, 2021 – At its public meeting on August 23, the Advisory Panel on Hospital Outpatient Payment unanimously approved two recommendations made by the Alliance of Wound Care Stakeholders that, if accepted and implemented by CMS, would positively impact wound care by correcting flaws in the payment that have negatively impacted reimbursement for cellular and tissue-based products for wounds (CTPs, also known as skin substitutes) and removing barriers to access for these important wound care products. While the Advisory Panel submits recommendations to CMS for consideration, the Agency is not obligated to move its recommendations forward. That is why now is the time for the wound care community to make its voice heard to CMS so that these recommendations are included in the OPPS policy as it is revised and finalized. Here's how.

See Alliance news release
August 6, 2021

Comments to Advisory Panel on Hospital Outpatient Payment

In advance of the Advisory Panel on Hospital Outpatient Payment public meetingon Aug. 23, 2021, the Alliance submitted written comments on specific provisions addressing payment for Cellular and/or Tissue Based Products for Skin Wounds (CTPs) and provided recommendations regarding CPT add-on codes and assignment of Ambulatory Payment Classifications (APCs) for the same size wound.

Read Alliance lettter
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