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News & Press: Advocacy and Policy

CMS Proposing Significant Changes to Surgical Dressings Coverage

Tuesday, November 3, 2015   (1 Comments)
Posted by: Becky Dryden
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In August, CMS assigned the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) the task of developing local coverage determinations (LCDs) for processing and reviewing Medicare claims for Surgical Dressings under the Durable Medical Equipment, Prostheses, Orthoses, and Supplies (DMEPOS) program. The changes contained in the proposed LCD policy and related policy article would substantially impact coverage for a variety of surgical dressings.

Specifically, the draft LCD would:

  • Add a section for collagen dressings.
  • Add a section for zinc-paste impregnated gauze.
  • Add a section for dressings comprised of materials not recognized as effective.
  • Revise requirements for incompatible dressing materials.
  • Revise requirements for incompatible dressing change intervals.
  • Revise utilization (change interval) requirements.  

The full draft LCD can be obtained at http://bit.ly/1Vewa4G. After review of the LCD draft policy the WOCN Society has significant concerns about the proposal and has strongly suggested that this draft be withdrawn and that CMS work with stakeholders to create a more clinically-appropriate document. 

The WOCN Society's comments which were submitted to the DME MACs can be found here >>.

Comments...

Korissa E. Thomason says...
Posted Friday, November 13, 2015
Thank you for commenting and submitting your responses on our behalf. I read the full draft LCD and my blood pressure went up.

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