Wound care under Medicare
Briefings on Outpatient Rehab: Reimbursement and Regulations, October 1, 2009
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In the past 20 years, wound care has increased in older Americans. This increase is due to a higher incidence of diabetes mellitus, peripheral vascular disease, burns, and other mechanisms, as well as the overall increasing number of older Americans. If left untreated, these wounds can significantly alter a person’s ability to function and possibly lead to death.
With the proper treatments, these wounds can be healed. Generally, it is a combination of treatments that together promote adequate wound healing. PT and OT are two disciplines covered under Medicare to provide wound care to Medicare beneficiaries.
Effective June 6, 2005, Medicare no longer requires a physician office visit for a patient to receive reimbursable skilled therapy services unless the patient receives electrical stimulation or electromagnetic therapy for the treatment of a wound or his or her physician or nonphysician practitioner (NPP) requires the visit.
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