Health Information Management

Pay-per-view: CMS adds to skin substitute product lists

APCs Insider, October 10, 2014

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

For any new skin substitute products approved for payment during 2014, CMS will use a $32 per square centimeter threshold to determine mapping to the high- or low-cost skin substitute group. Any new skin substitute products without pricing information are assigned to the low-cost category until pricing information becomes available.
In the October update, CMS added one product to the high-cost group, effective July 1:
  • Q4137, Amnioexcel® or Biodexcel®, per square centimeter 
CMS also added two products to the high-cost skin substitute group, effective October 1:
  • Q4138, BioDfence DryFlex®, per square centimeter
  • Q4140, BioDfence®, per square centimeter 
These three products have all been assigned status indicator N (items and services packaged into APC rates).
 
Continue reading “MACs to reprocess radiosurgery claims due to copayment miscalculation” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the October issue.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs

  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular