DecisionHealth, DecisionHealth - 2022 Issue 8 (August)

CMS proposes to bundle pricey skin substitute products in pro fee

A year after it finalized a policy to allow carrier-priced payment in the physician office for some synthetic skin substitutes, CMS is proposing more dramatic reimbursement changes for the implants. Specifically, the agency wants to bundle payment for these often expensive wound care products into the physician’s professional payment as “incident-to” expenses starting in 2024.

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