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APWCA News

  • 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

  • 05/23/2019 7:00 AM | Anonymous

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

    • Review: Using modified mesenchymal stem cells to promote healing in diabetic wounds
    • Electric field-based dressing helps heal wound infections
    • Treating osteomyelitis: Nonsurgical interventions for complex wounds
    • Dead cells disrupt how immune cells respond to wounds and patrol for infection
    • 5 ways wearable medical devices can boost patient outcomes
    • Management of skin and wound care in the muscular dystrophy patient population
    • Researchers now reveal the best foods for wound healing

    May 23, 2019 |  Archives

  • 05/15/2019 7:00 AM | Anonymous

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

    • The role of oxidative stress in the development of diabetes mellitus and its complications
    • Microbiomes of diabetic foot ulcers are associated with clinical outcomes
    • Management of skin and wound care in the muscular dystrophy patient population 
    • Podimetrics raises 13.4M to eliminate diabetic foot ulcers
    • The complexity of wound care compliance: A patient case study
    • A 4-step process for making changes in your nursing department
    • Community will is critical when government fails to meet health needs

    May 15, 2019 |  Archives


  • 05/09/2019 10:55 AM | Anonymous

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

    • New dispersion method to effectively kill biofilm bacteria could improve wound care
    • Beating bedsores: Researchers working on 3-D method to aid treatment
    • Prognosis of the outcome of severe diabetic foot ulcers with multidisciplinary care
    • Treatment of Diabetic Foot Gangrene Using the STAGE Principle: A Case Series
    • Perceptions of opioid policies and implications for pain treatment in older adults
    • New shockwave treatment heals diabetic foot wounds of San Antonio patients
    • The Microflora of Chronic Diabetic Foot Ulcers Based on Culture and Molecular Examination: A Descriptive Study
    • How well-designed tech can help medical professional avoid burnout

    May 8, 2019 |  Archives


  • 05/08/2019 9:22 AM | Anonymous

    Last year, on behalf of its members, the APWCA submitted comments to CMS regarding the electronic clinical quality measure titled, “Hospital Harm – Hospital- Acquired Pressure Injury.” We expressed concern that the denominator had no exclusions and suggested that certain exclusions be included. A cope of that letter is below:

    The American Professional Wound Care Association® (APWCA) is a non-profit medical association welcoming medical providers from all disciplines involved in prevention and treatment of difficult wounds. Through a synergy of disciplines, APWCA has been a worldwide leader in clinician advocacy and education for the prevention and treatment of acute and chronic wounds since 2001. This association provides an informational and educational forum for healthcare providers, while promoting excellence in wound healing and patient advocacy.

    On behalf of the APWCA we appreciate the opportunity to comment on the electronic clinical quality measure titled, “Hospital Harm – Hospital- Acquired Pressure Injury.” We are concerned that the denominator has no exclusions. All hospitalized patients ages 18 years and older are included. We agree that pressure ulcers should be avoided in all patients when possible, but contend that all pressure injuries are not preventable. We agree with your statement in question #7 that “practices may change for end- of-life or hospice patients who have a comfort care-only order.” Comfort care-only orders can be captured in some EHR systems, but not all. There are also some hospitals still not using a fully functional EHR. Therefore, we do suggest denominator exclusions in this measure.

    We suggest that the following exclusions be considered:
    Palliative care
    End of life care
    Metastatic malignancies
    Septic shock

    As you know, the same critical pathologies that compromise perfusion to critical organs such as the heart, lungs, and brain also compromise perfusion to the skin!

    Thank you for the opportunity to provide this feedback and for considering our suggestion

    Robert Skerker, MD, FAPWCA
    Medical Director, Morristown Wound Healing Center
    APWCA liaison to the Alliance of Wound Care Stakeholders

    Jeffrey D Lehrman, DPM, FASPS, MAPWCA
    Medical Director, Center for Wound Healing and Hyperbaric Medicine at
    Crozer-Chester Medical Center
    APWCA Board of Directors


  • 05/01/2019 12:18 PM | Anonymous

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

    • Microbiomes of diabetic foot ulcers are associated with clinical outcomes
    • The benefit of early ankle-brachial pressure index measurement for vascular wound care
    • Nanodevices could be the answer to healing chronic wounds
    • CMS offers resources to address social determinants of health
    • New dispersion method to effectively kill biofilm bacteria could improve wound care
    • 5 ways to improve patient satisfaction through pain management
    • Defining success in wound healing: 'Ambiguous and difficult to define'
    • Black, Latino patients much more likely than whites to undergo amputations related to diabetes

    May 1, 2019 |  Archives


  • 04/25/2019 2:33 PM | Anonymous

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

    • Researchers develop wearable biosensors that mimic skin's properties
    • 4 ways to integrate digital health into the wound center today
    • Researchers pinpoint microbial strains that delay healing in diabetic foot ulcers
    • Negative-pressure wound therapy for managing complicated wounds at extracorporeal membrane oxygenation sites
    • 5 surprising ways to create a more patient-friendly vibe at your practice
    • Chronic wounds are the massive global health problem no one's talking about, doctor warns
    • Guidelines for safe negative-pressure would therapy


    April 24th, 2019  |  Archives


  • 04/22/2019 7:00 AM | Anonymous

    Keep up to date with the latest developments in wound care news through APWCA's weekly email publication Wound Care Report.

    April 17th, 2019  |  Archives


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