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APWCA News

  • 07/05/2019 2:31 PM | Anonymous

    Your APWCA recently collaborated with the Alliance of Wound Care Stakeholders and others in an effort to combat an unfair policy from WPS Government Health Administrators. WPS is the Part B Medicare Administrative Contractor (MAC) for Nebraska, Kansas, Iowa, Missouri, Michigan, and Indiana. WPS released the Local Coverage Article, "A55909: Wound Care Coding Companion for Wound Care L37228”. This article excluded coverage for CPT 97597 (Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less) when the depth of the ulcer debrided is limited to breakdown of skin. A letter was written to WPS challenging this exclusion and requesting that WPS provide peer-reviewed literature that supports this exclusion.

  • 06/26/2019 7:00 AM | Anonymous

    APWCA’s Weekly Wound Care Report which has the latest developments in wound care news publication featuring the following articles:

    • Wound dressing selection is more than a choice
    • Managing your workflow to meet regulations
    • How to manage disfiguring scars in involuted infantile hemangioma
    • The utility of smartphone applications, technology in wound healing
    • Skin perfusion pressure, wound closure time in lower extremity wounds
    • The psychic compost of your healthcare career
    • Study: Relationships among spiritual well-being, adjustment and quality of life in patients with a stoma
    • Thousands of diabetic foot ulcers patients could benefit from topical oxygen therapy with updated treatment pathway
    • Why your healthcare facility should have a wound expert

    June 26, 2019 | Archives


  • 06/25/2019 7:00 AM | Anonymous
    APWCA contributed to the effort by the Alliance of Would Care Stakeholders over the last couple months to oppose Noridian’s new policy article governing use of skin substitutes. This article dictates coverage in the absence of a Local Coverage Determination and limits the indication of skin substitute use.


    See the full article here.

  • 06/25/2019 7:00 AM | Anonymous

    This year APWCA contributed to the effort by the Alliance of Wound Care Stakeholders to oppose United Healthcare’s policy which limits the use of skin substitute products.


    See the full article and read United Healthcare’s Response here.

  • 06/20/2019 12:38 PM | Anonymous

    APWCA’s Weekly Wound Care Report which has the latest developments in wound care news publication featuring the following articles:

    • Comprehensive patient and wound assessments
    • Visualizing tissue strain under the sacrum and coccyx in different supine postures
    • Substandard wound care can create legal risks for nurses
    • Are you ready for the empowered patient?
    • Pressure injury healing and oral nutritional supplements enriched with arginine
    • Attending to psychosocial concerns for those with epidermolysis bullosa
    • New study: Rural telehealth capabilities are lagging
    • A narrative review of the benefits and risks or total contact casts in the management of diabetic foot ulcers
    • A practical guide to establishing a wound care formulary in your clinic

    June 19, 2019 | Archives

  • 06/12/2019 4:32 PM | Anonymous

    APWCA’s Weekly Wound Care Report which has the latest developments in wound care news publication featuring the following articles:

    • Tissue Oxygenation Changes to Assess Healing in Venous Leg Ulcers Using Near-Infrared Optical Imaging
    • Streamlining the development and maintenance of a local wound care formulary
    • Chemists develop nanoscale bioabsorbable wound dressing
    • 4 ways to integrate digital health into the wound center today
    • Why is engagement between healthcare providers and the community so important
    • The changing bundled payment landscape for ASCs - What to know about risk, payers & future trends
    • Novel bacterial auto-fluorescence imagine device can lead to more targeted debridement

    June 12, 2019 | Archives

  • 06/06/2019 12:31 PM | Anonymous

    APWCA’s Weekly Wound Care Report which has the latest developments in wound care news publication featuring the following articles:

    • Alliance of Wound Care Stakeholders Update - June 3, 2019
    • The reactive and repetitive multidisciplinary CLI team
    • Burnout is now an official medical diagnosis, according to WHO
    • Evaluating the effects of a pressure injury prevention algorithm
    • Legal perils and pitfalls of wound care: Extrinsic risk factors for unavoidable pressure ulcers
    • Study: Only 1.5% of those at high risk of opioid overdose receive a prescription for naloxone
    • Complex platforms make telehealth more than video
    • Immersive virtual reality for pediatric procedural pain: A randomized clinical trial
    • Federal pain management task force emphasizes opioid alternatives

    June 5, 2019 | Archives


  • 06/04/2019 7:00 AM | Anonymous

    Last year, on behalf of its members, the APWCA submitted a comment letter to CMS regarding the 2019 Medicare Part B Physician Fee Schedule. A copy of the full letter is attached below.

    The APWCA argued against:

    • Consolidation of payment for levels 2-5 office and other outpatient E/M services
    • New E/M codes for “podiatry services”
    • The application of the MPPR concept to E/M coding
    • The raise to 30 of the score needed to avoid a MIPS penalty
    • Change to the small practice MIPS bonus

    The APWCA commented on some specific RVUs and responded to their request for information regarding postoperative visits following 10 day global procedures.

    Final APWCA 19 MPFS Comment Letter.pdf

  • 06/03/2019 7:00 AM | Anonymous

    The APWCA contributed to the comments recently contributed by the Alliance of Wound Care Stakeholders to the Physician- Focused Payment Model Technical Advisory Committee (PTAC) regarding a proposal regarding “Bundled Payment for All Inclusive Outpatient Wound Care Services in Non Hospital Based Setting” that was submitted by Seha Medical. The comment letter expressed concern regarding one all-inclusive payment as it would negatively affect the care that providers would be able to deliver. The fear that one all-inclusive payment could also limit the care that patients receive was shared. The letter pointed out that the proposal did not require the provider to adhere to a particular care model, follow a particular set of national guidelines or established protocols in order to achieve the desired cost and utilization objectives. Furthermore, the point was made that chronic ulcer patients often have multiple co-morbidities requiring treatment to optimize ulcer care, and this proposal did not account for that. The Alliance letter concluded with a request to not implement the proposal as written and an offer to serve as a resource to the PTAC if it wants to consider a bundled payment for wound care services.

  • 05/29/2019 10:34 AM | Anonymous

    APWCA’s Weekly Wound Care Report which has the latest developments in wound care news publication featuring the following articles:

    • Wound dressing uses electricity to bust up antibiotic-resistant bacterial infections
    • When wounds are good for you: The regenerative capacity of fractional resurfacing and potential utility in chronic wound prevention
    • Probiotic supplementation aids wound healing in diabetic foot ulcer
    • An introduction to skin as an interface
    • Bacteriophage Therapy of Chronic Nonhealing Wound: Clinical Study
    • Definition and characteristics of chronic tissue injury
    • Why collaboration is essential for early and successful treatment of Charcot foot

    May 29, 2019 | Archives

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