News July 2021

New Claims Submission Guidelines for Snapshot_NIR^®

Kent Imaging Inc. recent announced that the Centers for Medicare & Medicaid Services (CMS) has released claims submission guidelines for CPT^® Codes 0640T–0642T in the guidance document CR Transmittal Number: R10860CP referenced in the MLN Matters MM12289, published June 30, 2021.

Kent notes the codes 0640T and 0642T have been classified as reimbursable on a case-by-case basis per Medicare Administrative Contractor (MAC) discretion. The code 0641T was assigned to the APC grouper code 5732 for utilization by outpatient facilities. Kent Imaging says it will submit an APC code Revision Request and anticipates further information regarding this request by October 2021. The company will also be communicating directly with the individual MACs outlining the positive clinical and financial implications of the Snapshot_NIR.

​​​​The CPT codes listed above must be utilized to report the use of Snapshot_NIR, according to the company. The National Correct Coding Initiative states that CPT/HCPS coding must reflect the most accurate description of the services provided. Since the codes 0640T–0642T were specifically designed to reflect the usage of Snapshot_NIR, Kent notes it will no longer be appropriate to utilize Unlisted or Miscellaneous CPT codes for dates of service after June 30, 2021.

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Study: Good Clinical Outcomes for Dermal Scaffold for DFUs

A recent study in the Journal of Wound Care finds positive results for PriMatrix^® Dermal Repair Scaffold (Integra LifeSciences) to manage hard-to-heal diabetic foot ulcers (DFUs).

The randomized controlled trial focused on more than 100 patients per treatment group and demonstrated that one application of PriMatrix plus standard of care (SOC) healed 60% of DFUs in 12 weeks versus 35% of DFUs that healed in 12 weeks with SOC for the per protocol analysis, according to Integra.
 
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Practice EHR Launches Enterprise Practice Management Software 

Practice EHR recently announced the launch of its enterprise practice management solution, Practice EHR Enterprise.
  
The company notes its software solution provides robust functionality that can streamline the medical billing workflow and improve financial performance and productivity for hospitals, medical practices, and medical billing companies.
  
Practice EHR says the platform provides a powerful set of enterprise features to meet the unique performance, reliability and scalability demands of enterprise-level organizations. The company notes the system can support tens of thousands of users, hundreds of terabytes of data, and scales to support any size healthcare organization. 
 
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