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Wound Care Reimbursements in Various Healthcare Settings Inpatient Hospital Wound care in an inpatient hospital setting is reimbursed through the Diagnosis-Related Group (DRG) paymentsystem. The MPFS is a paymentsystem that reimburses healthcare providers for services rendered to Medicare patients in an outpatient setting.
If a patient receiving home infusion therapy is also under a home health plan of care and receives a visit that is unrelated to the administration of the home infusion drug, then payment for the home health visit would be covered under the Home Health Prospective PaymentSystem (HH PPS) and billed on the home health claim.
Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008. Visit the Medicare payment resources page on the ASCA website to learn about the changes that CMS has made to the paymentsystem and ensure that your ASC is paid appropriately.
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