On July 3, 2014, the Centers for Medicare & Medicaid Services (CMS) issued its annual proposed rule to update payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS). Included in this proposed rule, CMS proposed to eliminate all 10- and 90-day global codes in 2017. According to CMS, The Office of the Inspector General has identified a number of surgical procedures that include more visits in the global period than are being furnished. In order to address the potential for misvaluation of surgical services, CMS is proposing to include only the services provided on the day of surgery, and to pay separately for visits and services actually furnished after the day of the procedure beginning in CY 2017. To view the proposed rule see: http://www.gpo.gov/fdsys/pkg/FR-2014-07-11/html/2014-15948.htm
This would dramatically alter the payment structure for the services provided by a WOC nurse and we are following the proposal closely. CMS was accepting comments on this proposal until September 2nd. The Wound, Ostomy and Continence Nurses Society™ did submit comments which can be found here.