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Brief about Wound Care Reimbursements in Various Healthcare Settings

Medisys Compliance

Wound care is provided in various healthcare settings like inpatient hospital, outpatient clinics, long-term care facilities, home health settings, hospice and skilled nursing facilities. For example, patients who require ongoing wound care but do not need to be hospitalized can receive treatment in outpatient clinics.

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Understanding 3-Day Payment Window for Outpatient Billing

Medisys Compliance

What is 3-Day Payment Window? Medicare’s 3-day (or 1-day) payment window applies to outpatient services that hospitals and hospital wholly owned or wholly operated Part B entities furnish to Medicare beneficiaries. Hospital subject to 1-Day Payment Window. Inpatient rehabilitation hospitals and units.

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3 Key Wound Care Billing Updates for 2024

Medisys Compliance

Starting in January 2024, home health agencies must bill for dNPWT devices using the dedicated TOB code 032x. This update requires home health agencies to adjust their billing processes and documentation to ensure accurate claims for dNPWT devices. This code is separate from the codes used for other wound care services.