Industry Alert: Increased Scrutiny on Amniotic Skin Grafts by CMS
Carlos H. Arce
Healthcare Regulatory M&A Attorney | Partner | Florida Healthcare Law Firm
With Sinead Killeen Florida Healthcare Law Firm - Delray Beach, FL
Attention all plastic surgeons and wound care specialists—there’s an urgent development you need to be aware of regarding the use of amniotic skin grafts in wound care. The Centers for Medicare & Medicaid Services (CMS) have heightened their oversight and enforcement activities, specifically targeting reimbursement protocols. This move has significant implications for your practice and could impact your financial stability.
What’s Happening?
Various MACs have been sending out notification letters to practices involved in providing amniotic skin grafts, alerting them to potential reimbursement recoupments. This escalation involves in-person audits where medical records are scrutinized and physician interviews are conducted. The focus is on identifying cases of overutilization and examining the medical necessity of procedures conducted.
I Helped 80+ Plastic Surgeons to Get 10X More Patients through Local SEO, Website Design, Google & Meta Ads, and Proven Healthcare Marketing Strategies | Founder @ GrowBizz Digital??
2 个月Vital alert! ?? Proper documentation and compliance are more critical than ever for practices using amniotic skin grafts. How are you preparing your team to navigate these CMS changes and ensure smooth audits?
Wow, these CMS updates are real head-turners! ?? Great breakdown of what our favorite plastic surgeons and wound care specialists need to keep in mind. Carlos keeping those docs in order sounds like the ultimate fetch quest! ????
Cofounder @ Profit Leap and the 1st AI advisor for Entrepreneurs | CFO, CPA, Software Engineer
3 个月Carlos H. Arce, sounds like a real hassle for those in the game! Best stay sharp.